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Individual

BRANDIE JOLIE COCKRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2006030339
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
C002652
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181380001
AR
Enumeration date
02/06/2007
Last updated
03/09/2022
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