Organization · NPI-2
A Foot Above The Rest
Nurse Practitioner, Gerontology · Carlisle, AR
NPI number1710736665
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1710736665
- Entity type
- Organization (NPI-2)
- Legal business name
- A Foot Above The Rest
- Organization subpart
- No
- Enumeration date
- May 14, 2024
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | Yes |
Practice location
504 Tippitt CutCarlisle, AR 72024-8040
Phone 870-672-1494
Mailing address
504 Tippitt CutCarlisle, AR 72024-8040
Authorized official
Rebecca Parham
Owner/Provider
8706721494
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