IndividualActive
Mandy Mooneyham, PA-C
NPI 1831391655 · Surgical Physician Assistant · Fayetteville, AR
Provider details
- NPI number
- 1831391655
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA-329 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3053 N College Ave
Fayetteville, AR 72703-3417
Phone: (479) 463-2000
Fax: (479) 442-4518
Approximate (ZIP-level) locationGet directions
Mailing address
3053 N College Ave
Fayetteville, AR 72703-3417
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2013-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.