Whalio Doctors

NPI 1013082205

Tara L Bruner, PAC

Practitioner Medical Physician Assistant Searcy, AR

Practice location

Address
205 East Race Avenue, Searcy, AR 72143-4329
Phone
(501) 279-9000
Fax
(501) 279-9011
Mailing address
212 Indian Trl, Searcy, AR 72143-5922

Registered specialties (2)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-355 (AR)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA1498 (OK)

Registry record

NPI
1013082205
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Nov 2006
Record last updated
8 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.