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Individual

LAURA K DEVALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4301 W MARKHAM ST # 532, LITTLE ROCK, AR 72205-7101
(501) 686-5311
(501) 686-5935
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218911
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
218911
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218911
AR LIC
AR
Enumeration date
04/22/2022
Last updated
02/10/2023
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