Individual
MRS. TAWNYA LEE LANSDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 642-7257
(870) 642-5015
Mailing address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-1053
(870) 584-2084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1766
TX
363LF0000X
Family Nurse Practitioner
87408
OK
363LF0000X
Family Nurse Practitioner
Primary
A003557
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195195758
—
AR
01
—
5AH02
BCBS
AR
Enumeration date
07/07/2011
Last updated
12/30/2021
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