Individual
MAKALA CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5315 W 12TH ST, LITTLE ROCK, AR 72204-1858
(501) 708-5383
Mailing address
2521 MCCALLUM DR, SHERWOOD, AR 72120-1645
(501) 708-5383
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
227818
AR
Other
Enumeration date
04/17/2024
Last updated
10/08/2024
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