| Travis Walling, APRN | |
|
871 W Main St, Booneville, AR 72927-3420 | |
| (479) 675-4100 | |
| (479) 675-4102 |
| Full Name | Travis Walling |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 871 W Main St, 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 |
|---|---|---|---|
| 1114329497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | A004204 (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 |
| Entity Name | Access Medical Clinic Arkansas Llc |
|---|---|
| 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 |
|---|---|
| Travis Walling, APRN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Travis Walling, APRN 871 W Main St, Booneville, AR 72927-3420 Ph: (479) 675-4100 |
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 |