Individual
MR. NATHAN GERRELL FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
15111 HIGHWAY 165, SCOTT, AR 72142
(501) 552-7999
Mailing address
15111 HIGHWAY 165, SCOTT, AR 72142
(501) 552-7999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005332
AR
Other
Enumeration date
11/25/2017
Last updated
03/04/2025
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