Individual
BRENT MICHAEL BALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6805 CANTRELL RD, LITTLE ROCK, AR 72207-4134
(501) 260-7992
Mailing address
2920 LAKEVIEW DR, CONWAY, AR 72032-8860
(501) 472-1682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226637
AR
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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