Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVARON LAMAR ANDERSON
Active Sole ProprietorCase Manager · BENTON, AR
Registration Details
- NPI Number
- 1528487584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2014 (12.040356485173 yrs)
- Last Updated
- Mar 18, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1502 MARY KAY BLVDBENTON, AR, 720157201Browse AR providers · Browse ZIP 72015
- Phone
- 5013153344
- Fax
- 5103816118
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in BENTON, AR
| Name | Credential | NPI |
|---|---|---|
| MR. TERRANCE DEWAYNE JAMES | — | 1265529978 |
| MRS. BEVERLY GARRETT | — | 1104966258 |
| MRS. TAMI CABE | LPTN | 1982744009 |
| MRS. PAM FOWLER | LPN | 1396885430 |
| MRS. JANICE REYNOLDS | LPTN | 1124153663 |
| MARY CHISM | — | 1770618209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.