Laura Ann Hannum, APRN | |
1940 S Whitehead Dr, De Witt, AR 72042-2906 | |
(870) 946-4505 | |
(870) 946-3357 |
Full Name | Laura Ann Hannum |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1940 S Whitehead Dr, De Witt, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265102859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 125421 (Arkansas) | Primary |
Entity Name | Mid-delta Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
Entity Name | Stuttgart Medical Clinic, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861518698 PECOS PAC ID: 8123176658 Enrollment ID: O20090511000307 |
Mailing Address | Practice Location Address |
---|---|
Laura Ann Hannum, APRN 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-8011 | Laura Ann Hannum, APRN 1940 S Whitehead Dr, De Witt, AR 72042-2906 Ph: (870) 946-4505 |
Debra Charlene West, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 S Main St, De Witt, AR 72042 Phone: 870-946-0079 Fax: 870-946-0090 | |
Mrs. Dana R. Reed, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1641 S Whitehead Dr, De Witt, AR 72042 Phone: 870-946-3637 Fax: 870-946-4410 |