Individual
MRS. NANCY B LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-2000
(479) 274-2194
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00028734
RR MEDICARE
—
Enumeration date
08/25/2006
Last updated
08/31/2015
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