ASHLEY MEUANGMANY
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1912768854- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3380 N FUTRALL DR, FAYETTEVILLE, AR, 727034815
- Phone
- (479) 442-7322
- Fax
- (479) 442-7379
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: AR #120762
All Addresses
MAILING
PO BOX 1523
FAYETTEVILLE, AR, 727021523