Individual
MARTHA G BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2508 CRESTWOOD RD, NORTH LITTLE ROCK, AR 72116-7623
(501) 758-2298
(501) 758-7877
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 758-2298
(501) 758-7877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R33544
AR
363LF0000X
Family Nurse Practitioner
Primary
A01874
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189490758
—
AR
01
—
492829ZNUD
MEDICARE
AR
Enumeration date
05/25/2006
Last updated
10/18/2022
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