Individual
PRISCILLA ELIZABETH BALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(479) 530-7617
Mailing address
1036 N HILLS RD, BENTON, AR 72019-5446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R109041
AR
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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