Doctor Name: | MR. JOSEPH C FENDLEY |
NPI Number: | 1003182387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | R83727 |
Business Practice Address: | 3604 Central Ave. Hot Springs, AR - 719136458 |
Business Phone Number: | 5015259675 |
Business Fax Number: | 5015257059 |
Mailing Address: | Po Box 21850, HOT SPRINGS |
State: | AR |
Postal Code: | 719031850 |
Phone Number: | 5015259675 |
Fax Number: | 5015257059 |
NPI Enumeration Date: | 03/30/2012 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | R83727 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |