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Individual

MELISSA A LOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
310 W TYLER, WEST MEMPHIS, AR 72301
(870) 732-2398
(870) 732-3647
Mailing address
PO BOX 1000 DEPT 960, MEMPHIS, TN 38148-0001
(901) 763-0200
(901) 260-1704

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
AO1693
AR
207RC0000X
Cardiovascular Disease Physician
APN0000012160
TN
363LF0000X
Family Nurse Practitioner
Primary
A001693
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149768758
AR
Enumeration date
09/26/2006
Last updated
12/06/2017
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