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Individual

SHELLY F HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10915 N RODNEY PARHAM RD STE F, LITTLE ROCK, AR 72212-4202
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002637
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165762001
AR
01
P00415238
RAILROAD MEDICARE
AR
Enumeration date
01/18/2007
Last updated
08/01/2024
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