Individual
MARIANNE L BOETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
4815 W MARKHAM ST, LITTLE ROCK, AR 72205-3866
(501) 661-2000
Mailing address
4815 W MARKHAM ST, LITTLE ROCK, AR 72205-3866
(501) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R 149402-6
MN
Other
Enumeration date
06/20/2008
Last updated
02/03/2015
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