Organization
TRIMANA
Active
Other names
VIA
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA CARDON (BILLING MANAGER)
(479) 966-7003
Entity
Organization
Contact information
Practice address
4000 N COLLEGE AVE STE D, FAYETTEVILLE, AR 72703-5192
(479) 966-4999
(479) 966-4987
Mailing address
4000 N COLLEGE AVE STE D, FAYETTEVILLE, AR 72703-5192
(479) 966-4999
(479) 966-4987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003800
AR
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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