Individual
HEATHER LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
Mailing address
2020 S T ST, FORT SMITH, AR 72901-6139
(479) 420-0273
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R64964
AR
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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