IndividualActive
Andrea King
NPI 1386129898 · Pediatric Nurse Practitioner · Bentonville, AR
Provider details
- NPI number
- 1386129898
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A005839 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2719 Se I St
Bentonville, AR 72712-3996
Phone: (543) 747-9273
Approximate (ZIP-level) locationGet directions
Mailing address
10 Cresswell Ln
Bella Vista, AR 72714-5225
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.