Basic Information
| Provider Information | |||||||||
| NPI: | 1336105287 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VOWELL | ||||||||
| FirstName: | NANNETTE | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 21908 | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719031908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015205476 | ||||||||
| FaxNumber: | 5015205486 | ||||||||
| Practice Location | |||||||||
| Address1: | 1662 HIGDON FERRY ROAD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 71913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5015205476 | ||||||||
| FaxNumber: | 5015205486 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2006 | ||||||||
| LastUpdateDate: | 02/11/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | E4414 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.