Individual
MRS. MARY ANNE LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7600 ROGERS AVE, FORT SMITH, AR 72903-5540
(479) 226-8340
(479) 259-9871
Mailing address
7600 ROGERS AVE, FORT SMITH, AR 72903-5540
(479) 226-8340
(479) 259-9871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R066983
AR
363LF0000X
Family Nurse Practitioner
Primary
A005198
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179196
AANP
—
01
—
R0119211
OK. RN LICENSE
OK
01
—
R066983
AR NURSING LICESNCE
AR
Enumeration date
09/06/2016
Last updated
10/22/2019
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