Healthcare Provider Details

I. General information

NPI: 1194647131
Provider Name (Legal Business Name): VILMA I ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 S ELM ST STE B
HOPE AR
71801-4311
US

IV. Provider business mailing address

PO BOX 1686
HOPE AR
71802-1686
US

V. Phone/Fax

Practice location:
  • Phone: 870-345-3214
  • Fax: 870-361-6017
Mailing address:
  • Phone: 870-345-3214
  • Fax: 870-361-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: