Fitzhugh, Wellesley

Fitzhugh, Wellesley is an individual health care provider with primary practice located at 108 W Tyler Ave , West Memphis AR 72301-4221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fitzhugh, Wellesley can be contacted via phone (870) 732-1191.

Contact Information

Primary practice address
108 W Tyler Ave West Memphis AR 72301-4221
Fax: (870) 732-4091
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A004217 Arkansas

Profile Details

NPI number 1306249396
LBN Legal business name Fitzhugh, Wellesley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2014
Last updated Jan 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306249396 NPPES
Arkansas MEDICAID 205408758

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