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Individual

ANITA B. RISSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
402 HAILEY RD, BERRYVILLE, AR 72616-5077
(870) 423-2923
(870) 423-5315
Mailing address
402 HAILEY RD, BERRYVILLE, AR 72616-5077
(870) 423-2923
(870) 423-5315

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
M00127
AR
367A00000X
Advanced Practice Midwife
Primary
M000127
AR
367A00000X
Advanced Practice Midwife
M00127
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129047799
AR
01
5T299
AR BLUE SHIELD #
AR
Enumeration date
04/18/2007
Last updated
07/01/2014
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