Fendley, Carrie Darlene
Fendley, Carrie Darlene is an sole proprietor health care provider with primary practice located at 620 W South St Ste B , Benton AR 72015-4235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fendley, Carrie Darlene can be contacted via phone (501) 860-7150.Contact Information
Primary practice address
620 W South St Ste B
Benton AR 72015-4235
Phone: (501) 860-7150
Fax: (501) 860-7166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A003402 | Arkansas |
Profile Details
| NPI number | 1508178955 |
|---|---|
| LBN Legal business name | Fendley, Carrie Darlene |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2010 |
| Last updated | Feb 11th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508178955 | NPPES |
| Arkansas | MEDICAID | 185317758 |
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