Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 215077 | AR |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 215077 | AR |
NPI | 1003492943 |
---|---|
Provider Name | Lindsey Wyerick |
First Address | Little Rock, AR 72207-5406 |
Second Address | Little Rock, AR 72205-7199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2021 |
Last Update Date | 12/04/2021 |