Individual
SANDRA LYNN WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MARSHALL ST, KIDS FIRST, ACH, SLOT 900, LITTLE ROCK, AR 72202-3510
(501) 364-6594
Mailing address
800 MARSHALL ST, KIDS FIRST, ACH SLOT 900, LITTLE ROCK, AR 72202-3510
(501) 364-6594
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A01053ANP
AR
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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