Individual
CODI MARIE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
21749 W HWY 28, BLUFFTON, AR 72827
(479) 259-2189
Mailing address
21749 W HWY 28, BLUFFTON, AR 72827
(479) 259-2189
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
29150
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A004891
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220185758
—
AR
Enumeration date
10/11/2016
Last updated
04/07/2026
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