Sylvia Irene Hathaway, FNP-BC | |
806 E Main St, Flippin, AR 72634-8668 | |
(870) 453-2266 | |
(870) 453-8766 |
Full Name | Sylvia Irene Hathaway |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 806 E Main St, Flippin, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912191438 | NPI | - | NPPES |
1912191438 | Medicaid | MO | |
209084758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004361 (Arkansas) | Primary |
Entity Name | Boston Mountain Rural Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
Mailing Address | Practice Location Address |
---|---|
Sylvia Irene Hathaway, FNP-BC Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5733 | Sylvia Irene Hathaway, FNP-BC 806 E Main St, Flippin, AR 72634-8668 Ph: (870) 453-2266 |
Ladeanna Strutton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 806 E Main St, Flippin, AR 72634 Phone: 870-456-2266 Fax: 870-453-2479 | |
Angela Jean Beyer, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 Mc 7001, Flippin, AR 72634 Phone: 870-321-3848 | |
Staci Rachelle Cochran, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 806 E Main St, Flippin, AR 72634 Phone: 870-453-2266 Fax: 870-895-2164 | |
Mrs. Tracie Lane Gilliland, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Mc 7097, Flippin, AR 72634 Phone: 870-404-2347 | |
Julie M King, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 E Main St, Flippin, AR 72634 Phone: 870-453-2266 | |
David Glenn Fulghum, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 E Main St, Flippin, AR 72634 Phone: 870-443-2266 Fax: 870-895-2164 |