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Carlton Family Practice, LLC

Nurse Practitioner, Family in Benton, AR. Organization (NPI-2).

NPI number1972176261
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1972176261
Entity type
Organization (NPI-2)
Legal business name
Carlton Family Practice, LLC
Organization subpart
No
Enumeration date
Jul 23, 2021
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

203 Lillian
Benton, AR 72015-3851

Phone 501-501-0710 · Fax 501-507-0721

Mailing address

203 Lillian
Benton, AR 72015-3851

Phone 501-507-0710 · Fax 501-507-0721

Authorized official

April Carlton
Aprn
5012491844

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