NPI 1386129898 · live from the CMS NPI Registry
Andrea King
Nurse Practitioner, Pediatrics in Bentonville, AR. National Provider Identifier 1386129898, active.
NPI record
| NPI | 1386129898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2719 Se I St, Bentonville, AR 72712 |
| Practice phone | 543-747-9273 |
| Mailing address | 10 Cresswell Ln, Bella Vista, AR 72714 |
| Enumerated | October 1, 2018 |
| Last updated | May 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist, Pediatrics | 364SP0200X | A005839 (AR) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A005839 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.