Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC NUTRITION PROVIDER OF AR
Active OrganizationPEDIATRIC NUTRITION PROVIDER OF AR is a Parenteral & Enteral Nutrition (DME) organization located in BENTON, Arkansas. NPI 1588873053 is currently active in the NPPES registry. Verify at CMS.
Parenteral & Enteral Nutrition (DME) · BENTON, AR
Registration Details
- NPI Number
- 1588873053
- Provider Type
- Organization
- NPI Issued
- May 22, 2007 (19.265827435335 yrs)
- Last Updated
- Aug 22, 2020
- License
-
AR20528 (AR)
Practice Information
- Address
-
920 EDISON AVESUITE #9BENTON, AR, 720154502Browse AR providers · Browse ZIP 72015
- Phone
- 5013157337
- Primary Specialty
-
Parenteral & Enteral Nutrition (DME)
332BP3500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.