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NPI Code Detail

MEDICARE: CATHERINE ELIZABETH FLANNIGAN RNFA, APRN-C

MEDICARE: CATHERINE ELIZABETH FLANNIGAN RNFA, APRN-C
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
1363LF0000XFamily Nurse Practitioner234379AR
2163WR0006XRegistered Nurse First Assistant630803TX
3363LF0000XFamily Nurse Practitioner202059AK
4363LF0000XFamily Nurse Practitioner1028600TX

General Provider Information

NPI Number : 1700079811
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ELIZABETH FLANNIGAN RNFA, APRN-C
Provider Business Mailing Address
First Line : PO BOX 776084
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6084
Country : US
Telephone Number : 479-314-7490
Fax Number : 479-314-7494
Provider Business Practice Location Address
First Line : 7001 ROGERS AVE STE 200
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4022
Country : US
Telephone Number : 479-314-7490
Fax Number : 479-314-7494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 06/02/2026

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