Healthcare Provider Details

I. General information

NPI: 1457905499
Provider Name (Legal Business Name): EMILY NICOLE FRUHLING PLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 SHOEMAKER RD STE D
SHERIDAN AR
72150-3000
US

IV. Provider business mailing address

1933 SHOEMAKER RD STE D
SHERIDAN AR
72150-3000
US

V. Phone/Fax

Practice location:
  • Phone: 870-917-2171
  • Fax: 870-917-2161
Mailing address:
  • Phone: 870-917-2171
  • Fax: 870-917-2161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: