Individual
MARK C HAMELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-0971
(843) 664-3723
Mailing address
728 HWY 375 E, MENA, AR 71953
(479) 216-3309
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN1492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1061
—
SC
Enumeration date
07/17/2006
Last updated
08/12/2013
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