Healthcare Provider Details

I. General information

NPI: 1528482189
Provider Name (Legal Business Name): CHRISTY BUHRMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S TIMBERLANE DR
EL DORADO AR
71730-6990
US

IV. Provider business mailing address

600 S TIMBERLANE DR
EL DORADO AR
71730-6990
US

V. Phone/Fax

Practice location:
  • Phone: 870-862-2400
  • Fax:
Mailing address:
  • Phone: 870-862-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberA004029
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: