Healthcare Provider Details

I. General information

NPI: 1508533050
Provider Name (Legal Business Name): APRIL ANN NUTT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W STATE ST
CARAWAY AR
72419-8553
US

IV. Provider business mailing address

4196 HIGHWAY 62 412 STE A
HARDY AR
72542-8002
US

V. Phone/Fax

Practice location:
  • Phone: 870-565-9205
  • Fax: 870-895-2164
Mailing address:
  • Phone: 870-856-1202
  • Fax: 870-856-2107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217240
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: