Provider Demographics
NPI:1184516544
Name:PARTIN, WESLEY (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:
Last Name:PARTIN
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 W BEDFORD LOOP APT 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-7837
Mailing Address - Country:US
Mailing Address - Phone:479-629-3485
Mailing Address - Fax:
Practice Address - Street 1:201 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-6600
Practice Address - Country:US
Practice Address - Phone:479-621-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR27017146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic