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Individual

MS. VIRGINIA DENISE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
Mailing address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO3555
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AO3555
ARKANSAS LICENSE
AR
Enumeration date
06/09/2011
Last updated
06/09/2011
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