Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Arkansas Functional Health LLC

Organization Nurse Practitioner · NPI 1417669029

Northwest Arkansas Functional Health LLC is a Nurse Practitioner in Tontitown, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

246 S Maestri Rd Ste 2
Tontitown, AR 72762-9703
Phone: (479) 220-9909
Fax: (888) 675-9637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417669029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Rush — Arpn · (479) 220-9951
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address20398 Bill Young Rd, Siloam Springs, AR 72761-8921