Healthcare Provider Details

I. General information

NPI: 1184292880
Provider Name (Legal Business Name): BRENDI LYNN GALE DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRENDI LYNN POE

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SE PLAZA AVE STE 5
BENTONVILLE AR
72712-5473
US

IV. Provider business mailing address

33 HARLOW DR
BELLA VISTA AR
72715-8928
US

V. Phone/Fax

Practice location:
  • Phone: 479-876-8550
  • Fax: 479-208-4266
Mailing address:
  • Phone: 479-531-9747
  • Fax: 479-208-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number216192
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number216192
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: