Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | E3155 | AR |
Y | 207VG0400X | Gynecologist | E-3155 | AR |
NPI | 1205806536 |
---|---|
Provider Name | Angela K Curry |
First Address | Fayetteville, AR 72702-1523 |
Second Address | Fayetteville, AR 72703-4008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11091000040 | QUALCHOICE (01) | AR |
145847001 | (05) | AR |
160055510 | MEDICARE RAILROAD CARRIER (01) | AR |
5M063 | BLUE CROSS (01) | AR |
770240801 | EDS BREASTCARE (01) | AR |
7731636 | CIGNA (01) | |
AS0140025 | HUMANA TRICARE (01) |