Individual
ANDREA ELIZABETH VAN LIEROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 CHILDRENS WAY # 840, LITTLE ROCK, AR 72202-3500
(501) 364-2632
Mailing address
1 CHILDRENS WAY # 840, LITTLE ROCK, AR 72202-3500
(501) 364-2632
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A03416
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184519758
—
AR
Enumeration date
08/02/2010
Last updated
01/07/2011
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