Individual
SHANTAE ELIZABETH RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
203 W DEQUEEN AVE, DE QUEEN, AR 71832-2809
(870) 642-4000
Mailing address
2062 RED BRIDGE RD, HORATIO, AR 71842-8953
(870) 582-1388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220868
AR
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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