| Liberty B Neoh, NP | |
|
128 Daniel Dr, Booneville, AR 72927-0128 | |
| (479) 675-2455 | |
| (479) 675-4940 |
| Full Name | Liberty B Neoh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 128 Daniel Dr, Booneville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700395225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A005369 (Arkansas) | Primary |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty B Neoh, NP 2901 S 74th St, Fort Smith, AR 72903-5156 Ph: (314) 364-7595 | Liberty B Neoh, NP 128 Daniel Dr, Booneville, AR 72927-0128 Ph: (479) 675-2455 |
Travis Walling, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 479-675-4102 | |
Casandra Ann Thurman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Mr. Steven Lee Mcdonald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Drake Schichtl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Alana Jean Noel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1069 S Sharpe Ave, Booneville, AR 72927 Phone: 479-675-0516 Fax: 949-553-3868 | |
Anthony Vincent Ciaramitaro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 870-895-2164 | |
Moriah Christine Hayes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6724 Possum Hollow Rd, Booneville, AR 72927 Phone: 479-849-5000 |