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Individual

RENEE MARIE SHAIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(016) 868-5305
(501) 686-8543
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
163WM0705X
Medical-Surgical Registered Nurse
R089200
AR
363LF0000X
Family Nurse Practitioner
Primary
A005644
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A005644
CERTIFIED NURSE PRACTITIONER
AR
01
R089200
REGISTERED NURSE
AR
Enumeration date
10/10/2018
Last updated
06/22/2022
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