Individual provider · NPI-1
Amber Ray, APRN
Family Medicine · Farmington, AR
NPI number1235812033
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1235812033
- Entity type
- Individual (NPI-1)
- Name
- Amber Ray
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2023
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 223959 | AR | Yes |
Practice location
370 W Tyler RdFarmington, AR 72730-3155
Phone 903-949-7273
Mailing address
370 W Tyler RdFarmington, AR 72730-3155
Phone 903-949-7273
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