BETTY D CORLEY


Address: 4 Redhead Dr, Conway, AR 72032-9756
Phone: 5014259198

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4 REDHEAD DR
City CONWAY
State AR
Zip Code 72032-9756

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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
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CONWAY
Zip Code 72032

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Dataset Information

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.

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