Healthcare Provider Details

I. General information

NPI: 1427397298
Provider Name (Legal Business Name): NECIE FAIN MCATEER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 CALIFORNIA AVE SW
CAMDEN AR
71701-4604
US

IV. Provider business mailing address

PO BOX 823
CAMDEN AR
71711-0823
US

V. Phone/Fax

Practice location:
  • Phone: 870-836-1000
  • Fax:
Mailing address:
  • Phone: 870-814-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR071839
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: