Individual
TIFFANY HEARNSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N WEST AVE, EL DORADO, AR 71730-4654
(870) 466-4308
Mailing address
701 N WEST AVE, EL DORADO, AR 71730-4654
(870) 466-4308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004997
AR
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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