Penny D Clardy in Conway - Psychiatric/mental Health

Penny D Clardy - NPI 1982703609

Penny D Clardy is a Psychiatric/mental Health in Conway, Arkansas. Penny D Clardy practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Penny D Clardy is 1982703609. The last update date is 2020-05-01.

Penny D Clardy's current location address is 350 Salem Rd Ste 1, Conway, Arkansas. You can contact this provider via phone number 5013368300 and fax number 5013295508. The mailing address for Penny D Clardy is 350 Salem Rd Ste 1, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Penny D Clardy
Address 350 Salem Rd Ste 1, Conway, Arkansas
Phone Number 5013368300
Fax Number 5013295508
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1982703609
Provider Enumeration Date 2006-09-21
Last Updated Date 2020-05-01

Provider Mailing Address Detail

Address 350 Salem Rd Ste 1
City Conway
State Arkansas (AR)
Post Code 720346166
Phone Number 5013368300
Fax Number 5013295508

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No A003472
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
188517758 AR --

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FAQs about Penny D Clardy

What is the unique provider identifier assigned to Penny D Clardy?

The Penny D Clardy has been issued the NPI (National Provider Identifier) 1982703609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Penny D Clardy's physical address?

The Penny D Clardy is physically located at 350 Salem Rd Ste 1, in the city of Conway, AR, with the postal code 720346166.

What is Penny D Clardy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Penny D Clardy's specialized field of practice is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0808X.

On what date was the 1982703609 assigned to Penny D Clardy?

The Penny D Clardy was issued its 1982703609 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Penny D Clardy's details last updated?

The information pertaining to the Penny D Clardy, including its address, specialty, and other details, was most recently updated on 2020-05-01.

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