Doctor Name: | CORAL DENISE HEARD |
NPI Number: | 1023378783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | A03685 |
Business Practice Address: | 115 Wrights St Hot Springs, AR - 719136240 |
Business Phone Number: | 5013219803 |
Business Fax Number: | 5013210710 |
Mailing Address: | 115 Wrights St, HOT SPRINGS |
State: | AR |
Postal Code: | 719136240 |
Phone Number: | 5013219803 |
Fax Number: | 5013210710 |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |