Donna Matlock is a Family in Rogers, Arkansas. Donna Matlock practices all healthcare services and medical treatments related to Family. The NPI Number for Donna Matlock is 1295780690. The last update date is 2019-04-11.
Donna Matlock's current location address is 2012 S Promenade Blvd, Rogers, Arkansas. You can contact this provider via phone number 4796161485 and fax number 4792390536. The mailing address for Donna Matlock is 2012 S Promenade Blvd, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Matlock |
|---|---|
| Address | 2012 S Promenade Blvd, Rogers, Arkansas |
| Phone Number | 4796161485 |
| Fax Number | 4792390536 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1295780690 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2019-04-11 |
Provider Mailing Address Detail
| Address | 2012 S Promenade Blvd |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727589073 |
| Phone Number | 4796161485 |
| Fax Number | 4792390536 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AO1582 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 426270807 | MO | -- | |
| 148362758 | AR | -- | |
| P00378001 | AR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Donna Matlock's unique identification number?
The Donna Matlock has been assigned the NPI (National Provider Identifier) Number 1295780690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Donna Matlock is located?
The Donna Matlock is situated at the following address: 2012 S Promenade Blvd, Rogers, AR, 727589073.
What is Donna Matlock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Donna Matlock is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did Donna Matlock receive its 1295780690 assignment?
The Donna Matlock was assigned its 1295780690 on 2006-05-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Donna Matlock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Donna Matlock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-11.