Healthcare Provider Details

I. General information

NPI: 1205806536
Provider Name (Legal Business Name): ANGELA K CURRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 N NORTHHILLS BLVD
FAYETTEVILLE AR
72703-4008
US

IV. Provider business mailing address

PO BOX 1523
FAYETTEVILLE AR
72702-1523
US

V. Phone/Fax

Practice location:
  • Phone: 479-582-3366
  • Fax: 479-571-6572
Mailing address:
  • Phone: 479-571-6038
  • Fax: 479-582-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberE-3155
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: