Individual
SUSAN RENE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HONDO CIR, CHEROKEE VILLAGE, AR 72529-2315
(417) 413-1460
Mailing address
PO BOX 793, HARDY, AR 72542-0793
(870) 847-7125
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
R087680
AR
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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