Individual
MS. NANCY CLAWITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 S UNIVERSITY AVE, LITTLE ROCK, AR 72205-5302
(501) 664-4532
Mailing address
500 S UNIVERSITY AVE, LITTLE ROCK, AR 72205-5302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00938
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157466001
—
AR
01
—
5S684
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/29/2005
Last updated
07/13/2007
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