Individual
ELIZABETH WYLLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
2510 DAISY CV, BRYANT, AR 72022-7525
(501) 580-4434
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A003987
AR
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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