SearchArkansas183500000X

Hayley Portmann

NPI 1164848651 · on the registry since 2014 · sole proprietor

Practice

Address
3475 Black Forest Dr
Fayetteville, AR 72704
Phone
(479) 442-2276
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas