Monique Thammavong, APRN, NP-C
Nurse Practitioner, Family in Van Buren, AR. Individual provider (NPI-1).
NPI number1275932253
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1275932253
- Entity type
- Individual (NPI-1)
- Name
- Monique Thammavong
- Credential
- APRN, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2014
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A004175 | AR | Yes |
Practice location
209 Pointer Trl W Ste AVan Buren, AR 72956-2238
Phone 479-474-1100 · Fax 479-471-1335
Mailing address
11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393
Phone 479-474-1100 · Fax 479-471-1335
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