Individual
SETH THOMAS TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN, FNP-BC
Contact information
Practice address
101 MASTER SERGEANT DAN WASSOM, LITTLE ROCK AFB, AR 72099-0001
(501) 987-5474
Mailing address
101 MASTER SERGEANT DAN WASSOM, LITTLE ROCK AFB, AR 72099-0001
(501) 987-5474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03244 ANP
AR
Other
Enumeration date
06/04/2009
Last updated
09/09/2024
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