Individual
TANYA ANITA CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4815 W MARKHAM ST, LITTLE ROCK, AR 72205-3866
(501) 661-2164
Mailing address
151 HIGHWAY 8 N, WARREN, AR 71671-9737
(870) 952-0318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006214
AR
Other
Enumeration date
08/16/2019
Last updated
11/27/2023
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