Organization
NOMAD FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER DELISE TOWNSEND (OFFICE MANAGER)
(501) 201-0204
Entity
Organization
Contact information
Practice address
404 LAKE WOOD DR, SEARCY, AR 72143-9056
(501) 593-6997
Mailing address
998 HIGHWAY 87, BRADFORD, AR 72020-9533
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A003845
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198628758
—
AR
Enumeration date
01/09/2018
Last updated
01/09/2018
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