Provider Demographics
NPI:1538801741
Name:MCARTHUR, AUTUMN PAIGE (RN, APR N-CNP)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:PAIGE
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:RN, APR N-CNP
Other - Prefix:
Other - First Name:AUTUMN
Other - Middle Name:PAIGE
Other - Last Name:DAVIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 SILOAM RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:AR
Mailing Address - Zip Code:72047-8004
Mailing Address - Country:US
Mailing Address - Phone:501-472-7348
Mailing Address - Fax:
Practice Address - Street 1:402 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2900
Practice Address - Country:US
Practice Address - Phone:501-628-9215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily