Individual
MARGARET DANIELLE MULLINS-MOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3812 W MAIN ST., RUSSELLVILLE, AR 72801
(479) 968-1245
Mailing address
3812 W MAIN ST., RUSSELLVILLE, AR 72801
(479) 393-9303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005654
AR
Other
Enumeration date
05/28/2018
Last updated
12/08/2022
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