Provider Demographics
NPI:1043967581
Name:APRN MEDICAL CONSULTANT LLC
Entity Type:Organization
Organization Name:APRN MEDICAL CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:479-200-9295
Mailing Address - Street 1:16412 MAJESTIC LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-6745
Mailing Address - Country:US
Mailing Address - Phone:479-200-9295
Mailing Address - Fax:540-346-4420
Practice Address - Street 1:16412 MAJESTIC LN
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-6745
Practice Address - Country:US
Practice Address - Phone:479-200-9295
Practice Address - Fax:540-346-4420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service