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TONI T WOMBLE APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1134458243

Individual Registrant:
 TONI T WOMBLE APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
450 W LOCKE ST  ASHDOWN, AR 71822-3326 US
Tel: 870-898-1400  Fax: --

Contact information for business:
418 N 2ND ST ASHDOWN MEDICAL CLINIC ASHDOWN, AR 71822-2755 US
Tel: 870-898-5037  Fax: 870-898-3910

Registration Information:
NPI: 1134458243
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA003233

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
196496758AR05




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