Hannah Lyons, | |
451 Phillips St, West Fork, AR 72774-2813 | |
(479) 294-6085 | |
Not Available |
Full Name | Hannah Lyons |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 451 Phillips St, West Fork, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033960265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 124645 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 124645 (Arkansas) | Primary |
Entity Name | Access Medical Clinic Arkansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
Mailing Address | Practice Location Address |
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Hannah Lyons, 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Hannah Lyons, 451 Phillips St, West Fork, AR 72774-2813 Ph: (479) 294-6085 |
Dr. Sarah Madison Spence, DNP, APRN, FNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 451 Phillips St, West Fork, AR 72774 Phone: 479-294-6085 | |
Sandy Michele Branson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425-a N. Centennial, West Fork, AR 72774 Phone: 479-839-2670 Fax: 479-294-6067 | |
Carolyn Sue Kelley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19002 Bug Scuffle Rd, West Fork, AR 72774 Phone: 479-761-0171 |