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Individual

LYNDA D BANWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2900 MEDICAL CENTER PKWY STE 310, BENTONVILLE, AR 72712-3214
(479) 553-3360
(479) 553-1911
Mailing address
2900 MEDICAL CENTER PKWY STE 310, BENTONVILLE, AR 72712-3214
(479) 553-3360
(479) 553-1911

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234698
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425993409
MO
Enumeration date
06/27/2006
Last updated
10/22/2025
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