Most Relevant Information
Provider Data
| NPI Number: | 1003564154 |
| Provider Name: | ERIC R LUSTER APRN-PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 218827 |
Most Important Dates
| Enumeration Date: | 03/16/2022 |
| Last Updated: | 05/26/2023 |
Provider Practice Location
1100 N UNIVERSITY AVE STE 200
LITTLE ROCK
AR
722076360
Practice Location Phone/Fax
| Phone: | 8887108220 |
| Fax: | 8665730761 |
Provider Mailing Location
PO BOX 1848
MENA
AR
719531841
Provider Mailing Phone/Fax
| Phone: | 4794373449 |
| Fax: | 4792430285 |