Individual
HEATHER CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 SW KEYSTONE ST, BENTONVILLE, AR 72712-5640
(479) 283-0486
Mailing address
605 SW KEYSTONE ST, BENTONVILLE, AR 72712-5640
(479) 283-0486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220902
AR
Other
Enumeration date
06/04/2022
Last updated
07/08/2022
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