Individual
ASHLEY RENEE CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
7303 ROGERS AVE STE 302, FORT SMITH, AR 72903-4105
(479) 452-1188
(479) 452-1196
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 364-4200
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
122308
AR
Other
Enumeration date
10/04/2019
Last updated
01/09/2024
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