Doctor Name: | LAURA KAY CLARK-BEAN |
NPI Number: | 1114029238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.R.N. |
License Number: | A01810 |
Business Practice Address: | 4 Hospital Dr Morrilton, AR - 721104510 |
Business Phone Number: | 5019772300 |
Business Fax Number: | 7708745483 |
Mailing Address: | 48 Abbey Ln, MORRILTON |
State: | AR |
Postal Code: | 721109250 |
Phone Number: | 5012081862 |
Fax Number: | 7708745483 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A01810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |