Individual
MIRANDA MARIE ANTIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1000
Mailing address
212 OLD STAGECOACH RD, CABOT, AR 72023-7601
(501) 837-2945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230495
AR
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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