Brent Rush Valid NPI

Individual provider · Family Nurse Practitioner · Tontitown, AR

NPI

1184072258

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

A004751 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2016-05-31

Last updated

2022-11-04