Individual
MRS. MARINA IVANOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9600 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6326
(501) 217-0500
Mailing address
9600 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6326
(501) 217-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01768ANP
AR
Other
Enumeration date
02/20/2009
Last updated
03/31/2015
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