Keri Muldrow, MSN,APRN, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Glenwood, AR

NPI 1730906017 · NPPES record last updated Sep 26, 2024

Key facts

NPI
1730906017
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
R107383 (AR)
Practice address
408 N 1St St Ste C
Glenwood, AR 71943-9250
Phone
(870) 356-7404
Fax
(870) 825-2060
NPI assigned
Sep 26, 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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R107383ARMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: keri.muldrow.1@26477.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R107383 AR Yes

Addresses

Primary practice location

408 N 1St St Ste C
Glenwood, AR 71943-9250

Mailing address

408 N 1St St Ste C
Glenwood, AR 71943-9250
Phone (870) 356-7404

Other providers in Glenwood, AR

All providers in Glenwood, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.