BETTY D CORLEY (NPI# 1104164706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104164706 |
Entity Type | Individual |
Full Name | BETTY D CORLEY |
Credential | APN |
Practice Address |
4 Redhead Dr Conway AR 72032-9756 |
Practice Telephone | 5014259198 |
Mailing Telephone | 5014259198 |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
S002263 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4 REDHEAD DR |
City | CONWAY |
State | AR |
Zip Code | 72032-9756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
Find all providers in zip 72032 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
1487138608 | Shonta Ellison | Clinical Nurse Specialist | 130 Lake Valley Dr, Maumelle, AR 72113-5939 | 2018-09-24 |
1740731660 | Holly Bunn | Clinical Nurse Specialist | 41 Harding Dr, Searcy, AR 72143-5704 | 2016-10-14 |
1457808362 | Candice Caldwell | Clinical Nurse Specialist | 1809 Ozarka College Dr, Mountain View, AR 72560-6455 | 2016-09-08 |
1548672413 | Angela Pugsley | Clinical Nurse Specialist | 900 Enterprise Dr, Jonesboro, AR 72401-9239 | 2014-05-27 |
1255677027 | Brandi Nicole Sharp | Clinical Nurse Specialist | 421 W Wade Ave, Mountain Home, AR 72653-4622 | 2012-12-21 |
1760744080 | Elizabeth H Jarvis | Clinical Nurse Specialist | 500 S University Ave Ste 500, Little Rock, AR 72205-5307 | 2012-06-12 |
1134489842 | Barbara Frances Gray | Clinical Nurse Specialist | 2020 Hytrol St, Jonesboro, AR 72401-6712 | 2012-05-29 |
1881913408 | Nelson Andrew Seal | Clinical Nurse Specialist | 4 Charithcher Ln, Bella Vista, AR 72714-3247 | 2010-05-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.