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Individual

NICHOLAS RODMAN BAHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC

Contact information

Practice address
2566 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-3923
(479) 935-1000
Mailing address
6111 SW OSAGE ST, BENTONVILLE, AR 72713-5380
(479) 352-0657

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227466
AR

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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