Healthcare Provider Details
I. General information
NPI: 1134881006
Provider Name (Legal Business Name): NUVIEW HEALTH ARKANSAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2021
Last Update Date: 10/08/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 W MAPLE AVE
SPRINGDALE AR
72764-5335
US
IV. Provider business mailing address
1825 NW CORPORATE BLVD STE 105
BOCA RATON FL
33431-8554
US
V. Phone/Fax
- Phone: 561-299-3667
- Fax: 561-299-3670
- Phone: 561-299-3667
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRYAN
LUDWIG
Title or Position: CHIEF STRATEGY OFFICER
Credential:
Phone: 561-299-3667