| Georgia Mulkerins, APRN | |
|
2103 Slack St, Pea Ridge, AR 72751-4005 | |
| (479) 765-1980 | |
| (479) 765-1982 |
| Full Name | Georgia Mulkerins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2103 Slack St, Pea Ridge, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962207589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 124103 (Arkansas) | Primary |
| Entity Name | Pea Ridge Urgent Care Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558140749 PECOS PAC ID: 1456796986 Enrollment ID: O20240223003115 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Mulkerins, APRN 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (479) 765-1980 | Georgia Mulkerins, APRN 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (479) 765-1980 |
Mrs. Cyrece Dawn Engelberger, APRN, IBCLC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Carr St, Pea Ridge, AR 72751 Phone: 479-488-6415 |
Robert Bussman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 Hayden Rd, Pea Ridge, AR 72751 Phone: 573-823-0150 |
Brandy Lee Vines, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2103 Slack St, Pea Ridge, AR 72751 Phone: 765-479-1980 |