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Individual

MS. CRISTY LELIEVRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6801 ROGERS AVE FL 3, FORT SMITH, AR 72903-4067
(479) 573-3042
(479) 452-2924
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 573-3042
(479) 452-2924

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221149
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201097060A
OK
05
289817758
AR
Enumeration date
07/11/2022
Last updated
07/08/2026
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