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NPI Verification

National Provider Identifier: 1942711064

American Prohealth

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

20602 ARCH STREET PIKE

HENSLEY, AR 720659442

Phone: 501-804-8564

NPI Enumeration Date

October 16, 2017

NPI Number

1942711064

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry