Individual
ROBERT WAYNE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 GREENFIELD DR, BRYANT, AR 72022-8118
(501) 860-8461
Mailing address
3109 GREENFIELD DR, BRYANT, AR 72022-8118
(501) 860-8461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004705
AR
363LA2100X
Acute Care Nurse Practitioner
ATP-000931
AR
Other
Enumeration date
03/03/2016
Last updated
04/07/2016
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