Individual provider · NPI-1
Olivia Bayne, APRN FNP-C
Nurse Practitioner · Mena, AR
NPI number1922844257
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1922844257
- Entity type
- Individual (NPI-1)
- Name
- Olivia Bayne
- Credential
- APRN FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2024
- Certification date
- Jul 5, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 229713 | AR | Yes |
Practice location
1103 College DrMena, AR 71953-2519
Phone 479-394-1414
Mailing address
1103 College DrMena, AR 71953-2519
Phone 479-394-1414
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