Individual
MS. MARIE SANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
2801 S UNIVERSITY AVE, DSC 102, LITTLE ROCK, AR 72204-1000
(501) 569-3188
(501) 683-7654
Mailing address
2801 S UNIVERSITY AVE, DSC 102, LITTLE ROCK, AR 72204-1000
(501) 569-3188
(501) 683-7654
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R28118
AR
363LF0000X
Family Nurse Practitioner
Primary
A01089 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A01089 ANP
APN
—
Enumeration date
12/14/2007
Last updated
04/16/2008
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