Individual
MARTHA KAY BUSHMIAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
600 S MCKINLEY ST, SUITE 102, LITTLE ROCK, AR 72205-5202
(501) 666-2824
(501) 666-9653
Mailing address
600 S MCKINLEY ST, SUITE 102, LITTLE ROCK, AR 72205-5202
(501) 666-2824
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S01059
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T887
ARKANSAS BLUE CROSS BLUE SHEILD
AR
01
—
5T887C207
MEDICARE
AR
Enumeration date
04/10/2006
Last updated
06/13/2014
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