Individual
KAREN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PINE AVE, GENTRY, AR 72734-8587
(479) 270-3917
Mailing address
PO BOX 1462, GENTRY, AR 72734-1462
(479) 270-3917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
102397
AK
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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