Healthcare Provider Details

I. General information

NPI: 1922122530
Provider Name (Legal Business Name): AMY M BURTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CLUB LN
CONWAY AR
72034-3624
US

IV. Provider business mailing address

600 CLUB LN
CONWAY AR
72034-3624
US

V. Phone/Fax

Practice location:
  • Phone: 501-327-0110
  • Fax: 501-327-0141
Mailing address:
  • Phone: 501-327-0110
  • Fax: 501-327-0141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA02981 ANP
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: