Individual
TARA CATHERINE KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 526-8200
(501) 526-8199
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 526-8200
(501) 526-8199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A03273ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178399758
—
AR
Enumeration date
08/04/2009
Last updated
10/06/2009
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