MEDICARE: CALEB MICHAEL LUNDAY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	216293	AR

General Provider Information

NPI Number	:	1073184727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB MICHAEL LUNDAY APRN

Provider Business Mailing Address
First Line	:	PO BOX 497
Second Line	:
City	:	AUGUSTA
State	:	AR
Zip	:	72006-0497
Country	:	US
Telephone Number	:	870-347-2534
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 HIGHWAY 62 W
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-4616
Country	:	US
Telephone Number	:	870-706-3421
Fax Number	:	870-706-3450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2021
Last Update Date	:	01/21/2026

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