Individual
HALEY R ENDACOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2100 N GREEN ACRES RD, SUITE A, FAYETTEVILLE, AR 72703
(479) 521-0455
(479) 521-4167
Mailing address
2100 N GREEN ACRES RD, SUITE A, FAYETTEVILLE, AR 72703
(479) 521-0455
(479) 521-4167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A003580
AR
363LF0000X
Family Nurse Practitioner
A003580
AR
Other
Enumeration date
08/15/2011
Last updated
04/06/2015
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