Individual
NATHAN MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5412
(501) 663-6455
Mailing address
5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2024
Last updated
11/19/2024
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