Individual
DANA AYSHA NIEDERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
(501) 552-4555
Mailing address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5499
(501) 552-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
122564
AR
363LF0000X
Family Nurse Practitioner
Primary
122564
AR
Other
Enumeration date
01/04/2020
Last updated
07/03/2022
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