IndividualActive
Brenda Dimauro, C.P.N.P.
NPI 1497704365 · Nurse Practitioner · Fayetteville, AR
Provider details
- NPI number
- 1497704365
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.P.N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- P00691 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2807
Phone: (479) 521-3363
Fax: (479) 521-4167
Approximate (ZIP-level) locationGet directions
Mailing address
2100 N Green Acres Rd
Fayetteville, AR 72703-2807
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2007-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.