NPI 1306249396 · live from the CMS NPI Registry
Wellesley Fitzhugh, APRN
Nurse Practitioner, Pediatrics in West Memphis, AR. National Provider Identifier 1306249396, active.
NPI record
| NPI | 1306249396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 108 W Tyler Ave, West Memphis, AR 72301 |
| Practice phone | 870-732-1191 |
| Enumerated | October 3, 2014 |
| Last updated | January 29, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A004217 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.