Provider Demographics
NPI:1144329798
Name:PRICE, ALBERT PAUL JR (ANP)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:PAUL
Last Name:PRICE
Suffix:JR
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 MERCY WAY STE 20
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-3000
Mailing Address - Country:US
Mailing Address - Phone:479-802-5556
Mailing Address - Fax:479-876-2829
Practice Address - Street 1:1 MERCY WAY STE 20
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714
Practice Address - Country:US
Practice Address - Phone:479-802-5556
Practice Address - Fax:479-876-2829
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily