NPI 1891402863 · live from the CMS NPI Registry
Treva M Churchwell, RN WON
Registered Nurse, Wound Care in Benton, AR. National Provider Identifier 1891402863, active.
NPI record
| NPI | 1891402863 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Wound Care 163WW0000X |
| Practice location | 1 Medical Park Dr, Benton, AR 72015 |
| Practice phone | 501-776-6000 |
| Mailing address | 2326 Horseshoe Loop, Little Rock, AR 72206 |
| Enumerated | October 31, 2022 |
| Last updated | October 31, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R85437 (AR) |
| Registered Nurse, Home Health | 163WH0200X | R85437 (AR) |
| Registered Nurse, Hospice | 163WH1000X | R85437 (AR) |
| Registered Nurse, Ostomy Care | 163WX1500X | R85437 (AR) |
| Registered Nurse, Wound Care primary | 163WW0000X | R85437 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.