Prevention Plus, Inc. | |
1204 Se 28th St Suite 2 Bentonville AR 72712-3881 | |
(479) 268-3477 | |
(479) 268-3478 |
Full Name | Prevention Plus, Inc. |
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Speciality | Nurse Practitioner - Family |
Location | 1204 Se 28th St, Bentonville, Arkansas |
Authorized Official Name and Position | Pam Seal (BILLING MANAGERF) |
Authorized Official Contact | 4057626002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prevention Plus, Inc. 1204 Se 28th St Suite 2 Bentonville AR 72712-3881 Ph: (479) 268-3477 | Prevention Plus, Inc. 1204 Se 28th St Suite 2 Bentonville AR 72712-3881 Ph: (479) 268-3477 |
NPI Number | 1649518200 |
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Provider Enumeration Date | 01/16/2013 |
Last Update Date | 01/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649518200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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