Individual
NANCY ANNE SCRIBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
220 W 10TH ST, RUSSELLVILLE, AR 72801-6034
(501) 679-4256
Mailing address
5 DEDICATION DR, GREENBRIER, AR 72058-9585
(501) 679-4256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR1636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR1636
OT LICENSE NUMBER
AR
Enumeration date
02/27/2007
Last updated
07/08/2007
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