Healthcare Provider Details

I. General information

NPI: 1538092861
Provider Name (Legal Business Name): ARMOUR ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 SWEETBRIAR WAY
CENTERTON AR
72719-5013
US

IV. Provider business mailing address

1431 SWEETBRIAR WAY
CENTERTON AR
72719-5013
US

V. Phone/Fax

Practice location:
  • Phone: 888-987-1489
  • Fax:
Mailing address:
  • Phone: 888-987-1489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHANNON NGUYEN
Title or Position: OWNER
Credential: CRNA
Phone: 888-987-1489