Provider Demographics
NPI:1912691544
Name:HECTOR, MYRRH (APRN)
Entity Type:Individual
Prefix:
First Name:MYRRH
Middle Name:
Last Name:HECTOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 E APPLEBY RD STE 301
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3160
Mailing Address - Country:US
Mailing Address - Phone:479-404-1200
Mailing Address - Fax:479-404-1201
Practice Address - Street 1:3 E APPLEBY RD STE 301
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3160
Practice Address - Country:US
Practice Address - Phone:479-404-1200
Practice Address - Fax:479-404-1201
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR224751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily