Theresa Fenner

NPI #1124319660 in Conway, Arkansas

Provider Information

NPI Number: 1124319660
Entity Type: Individual
Name: Theresa Fenner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: May 2, 2011
Last Updated: May 2, 2011

Practice Location

Address: 2740 COLLEGE AVE
City: Conway
State: Arkansas
ZIP Code: 72034-6141
Phone: (501) 329-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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