Individual
CARRIE ROSE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R108215
AR
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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