LAWRENCE A WEISENBACH (NPI# 1053891895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053891895 |
| Entity Type | Individual |
| Full Name | LAWRENCE A WEISENBACH |
| Credential | APRN |
| Practice Address |
106 N Van Buren St Weiner AR 72479-9289 |
| Mailing Address |
101 W Main St Hardy AR 72542-9566 |
| Practice Telephone | 8706050014 |
| Practice Fax Number | 8709947488 |
| Mailing Telephone | 5737182570 |
| Mailing Fax Number | 8708562133 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005841 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 49 Highway 62 412, Ash Flat, AR 725139594 | 8709947301 | 8709942865 |
| Street Address |
106 N VAN BUREN ST |
| City | WEINER |
| State | AR |
| Zip Code | 72479-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938870 | Bradley Bibb, Md Pllc | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2016-04-27 |
| 1114578929 | Access Medical Clinic Arkansas LLC | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326264607 | Heritage Foot Clinic LLC | Technician | 208 N Van Buren, Weiner, AR 72479-8948 | 2007-04-17 |
| 1821003435 | Cotton & Earls Drug Stores Inc | Pharmacy | 212 N Van Buren St, Weiner, AR 72479-8948 | 2006-07-30 |
| 1235345323 | Weiner School District | Local Education Agency (LEA) | 313 N Garfield St, Weiner, AR 72479-9304 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235345323 | Weiner School District | Local Education Agency (LEA) | 313 N Garfield St, Weiner, AR 72479-9304 | 2007-05-15 |
| 1326264607 | Heritage Foot Clinic LLC | Technician | 208 N Van Buren, Weiner, AR 72479-8948 | 2007-04-17 |
| 1821003435 | Cotton & Earls Drug Stores Inc | Pharmacy | 212 N Van Buren St, Weiner, AR 72479-8948 | 2006-07-30 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.