Individual
PAT A BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17727 E STATE HIGHWAY 28, OLA, AR 72853-9382
(479) 272-3113
(479) 272-3125
Mailing address
17727 E STATE HIGHWAY 28, OLA, AR 72853-9382
(479) 272-3113
(479) 272-3125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R41981
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184041761
—
AR
Enumeration date
05/03/2011
Last updated
05/03/2011
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