Agana, Carol Ed

Agana, Carol Ed is an individual health care provider with primary practice located at 614 E Emma Ave Suite 300, Springdale AR 72764-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Agana, Carol Ed can be contacted via phone (479) 751-7417.

Contact Information

Primary practice address
614 E Emma Ave Suite 300 Springdale AR 72764-4634
Phone: (479) 751-7417
Fax: (479) 751-4898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A01242 ANP Arkansas

Profile Details

NPI number 1659456051
LBN Legal business name Agana, Carol Ed
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659456051 NPPES
Arkansas MEDICAID 163106758

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