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NPI Code Detail

MEDICARE: MRS. SCARLETT ELIZABETH BONE APRN

MEDICARE: MRS. SCARLETT ELIZABETH BONE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA005613AR

General Provider Information

NPI Number : 1790274355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SCARLETT ELIZABETH BONE APRN
Provider Business Mailing Address
First Line : 1202 SHORT 10TH ST
Second Line :
City : BARLING
State : AR
Zip : 72923-2172
Country : US
Telephone Number : 479-883-2126
Fax Number : 479-314-5709
Provider Business Practice Location Address
First Line : 5921 RILEY PARK DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6103
Country : US
Telephone Number : 479-649-3376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 04/13/2020

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