Individual
MRS. BRITTANY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 N 6TH ST, BLYTHEVILLE, AR 72315-1707
(870) 281-2530
Mailing address
1001 N 6TH ST, BLYTHEVILLE, AR 72315-1707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005344
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005344
ARKANSAS CERTIFIED NURSE PRACTITIONER
AR
Enumeration date
08/30/2017
Last updated
03/17/2018
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