Organization Name: | HEALTHY CONNECTIONS INC. |
NPI Number: | 1124392048 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY COLANDRO (CEO) |
Mailing Address: | 136 Health Park Dr Mena |
State: | AR US |
Postal Code: | 719539072 |
Phone Number: | 4794373449 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2012 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |