Vicky Bardsley, QBHP

Individual provider Active NPI Case Manager/Care Coordinator · El Dorado, AR

NPI 1265256333 · NPPES record last updated Nov 14, 2024

Key facts

NPI
1265256333
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
715 N College Ave
El Dorado, AR 71730-4403
Phone
(870) 862-7921
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

715 N College Ave
El Dorado, AR 71730-4403

Mailing address

715 N College Ave
El Dorado, AR 71730-4403
Phone (870) 862-7982

Other providers in El Dorado, AR

All providers in El Dorado, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.