| Prevention Plus, Inc. | |
|
1204 Se 28th St Suite 2 Bentonville AR 72712-3881 | |
| (479) 268-3477 | |
| (479) 268-3478 |
| Full Name | Prevention Plus, Inc. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1204 Se 28th St, Bentonville, Arkansas |
| Authorized Official Name and Position | Pam Seal (BILLING MANAGERF) |
| Authorized Official Contact | 4057626002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Plus, Inc. 1204 Se 28th St Suite 2 Bentonville AR 72712-3881 Ph: (479) 268-3477 | Prevention Plus, Inc. 1204 Se 28th St Suite 2 Bentonville AR 72712-3881 Ph: (479) 268-3477 |
| NPI Number | 1649518200 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 01/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649518200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
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