Spa City Vascular And Wellness PLLC
Nurse Practitioner in Hot Springs, AR. Organization (NPI-2).
NPI number1609663293
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1609663293
- Entity type
- Organization (NPI-2)
- Legal business name
- Spa City Vascular And Wellness PLLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
3620 Central Ave Ste EHot Springs, AR 71913-6090
Phone 501-438-0111
Mailing address
1067 Seminole RdBismarck, AR 71929-6016
Phone 501-229-4942
Authorized official
Sarah Reyna
Aprn Owner
5014380111
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