Individual
SUSAN LEA ZICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
103 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 204-6126
(870) 204-6264
Mailing address
1204 SE 28TH ST, SUITE 2, BENTONVILLE, AR 72712-3881
(479) 464-8834
(479) 464-8838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03627
AR
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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