Healthcare Provider Details
I. General information
NPI: 1659168805
Provider Name (Legal Business Name): LINDSEY KRISTA HUETT APRN, MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 SAINT VINCENT CIR STE 300
LITTLE ROCK AR
72205-5417
US
IV. Provider business mailing address
1007 FOXWOOD
BENTON AR
72015-4708
US
V. Phone/Fax
- Phone: 501-480-8800
- Fax: 501-480-8815
- Phone: 501-517-0524
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 232206 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: