Vanessa Falwell, APRN

Individual provider Active NPI Family Nurse Practitioner · Newport, AR

NPI 1629577697 · NPPES record last updated Dec 4, 2018

Key facts

NPI
1629577697
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A005502 (AR)
Practice address
1301 McLain St
Newport, AR 72112-3633
Phone
(870) 217-4071
Fax
(870) 217-4072
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005502ARMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005502 AR Yes

Addresses

Primary practice location

1301 McLain St
Newport, AR 72112-3633

Mailing address

1301 McLain St
Newport, AR 72112-3633
Phone (870) 217-4071

Other providers in Newport, AR

All providers in Newport, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.