Healthcare Provider Details

I. General information

NPI: 1831635093
Provider Name (Legal Business Name): LESLI DON VARGAS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BUCHER DR
MOUNTAIN HOME AR
72653-3400
US

IV. Provider business mailing address

250 BUCHER DR
MOUNTAIN HOME AR
72653-3400
US

V. Phone/Fax

Practice location:
  • Phone: 479-323-0557
  • Fax: 870-706-2428
Mailing address:
  • Phone: 479-323-0557
  • Fax: 870-706-2428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120495
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR097748
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: