NPI 1013235142

Amanda Lavon Delsoto, CRNA

Practitioner Certified Registered Nurse Anesthetist Fayetteville, AR

Practice location

Address: 3271 Wimberly Dr, Fayetteville, AR 72703-4033
Phone: (479) 713-6100
Mailing address: PO Box 1547, Sedalia, MO 65302-1547

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R71833 (AR)

Other Nurse Anesthetist, Certified Registered providers in Arkansas →

Registry record

NPI: 1013235142
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2010
Record last updated: 13 May 2010

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.