Individual
LEONIE DECLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST, SLOT 529, LITTLE ROCK, AR 72205-7101
(501) 686-8384
Mailing address
4301 W MARKHAM ST, SLOT 529, LITTLE ROCK, AR 72205-7101
(501) 686-8384
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
A01368
AR
363LF0000X
Family Nurse Practitioner
Primary
A01368
AR
Other
Enumeration date
09/15/2006
Last updated
06/14/2013
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