Phagen Leeks

Licensed Practical Nurse · Cabot, AR

Individual Active NPI

NPI number 1336586171

Practice location

2792 S 2ND St Ste B
Cabot, AR 72023-7064
Phone
(870) 932-3600

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NPI record

NPI
1336586171
Entity type
Individual (Type 1)
Enumeration date
June 3, 2013
Last updated
August 2, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 120253 AR
Specialist 174400000X — —

About Phagen Leeks

Phagen Leeks is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2792 S 2ND St Ste B, Cabot, AR 72023-7064. The NPI number 1336586171 was assigned on June 3, 2013 and the record was last updated on August 2, 2019.

Phagen Leeks lists a license in the registry: #120253 (AR) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phagen Leeks?

The NPI number is 1336586171.

What is the phone number of Phagen Leeks?

The phone number listed for the practice location is (870) 932-3600.

Where is Phagen Leeks located?

2792 S 2ND St Ste B, Cabot, AR 72023-7064.

What is the taxonomy code for Phagen Leeks?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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