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NPI Code Detail

MEDICARE: ARIELLE HOLLOWAY NURSE PRACTITIONER

MEDICARE: ARIELLE HOLLOWAY NURSE PRACTITIONER
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
1163W00000XRegistered NurseR104399AR
2363L00000XNurse Practitioner216223AR

General Provider Information

NPI Number : 1487221537
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLE HOLLOWAY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 655 DAVE WARD DR STE 103
Second Line :
City : CONWAY
State : AR
Zip : 72034-7145
Country : US
Telephone Number : 501-209-4040
Fax Number : 501-205-1776
Provider Business Practice Location Address
First Line : 655 DAVE WARD DR STE 103
Second Line :
City : CONWAY
State : AR
Zip : 72034-7145
Country : US
Telephone Number : 501-209-4040
Fax Number : 501-205-1776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 11/08/2023

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Directions to “ ARIELLE HOLLOWAY NURSE PRACTITIONER” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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