Individual
MARZELLA BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 686-5650
Mailing address
501 JACK STEPHENS DR # 507, LITTLE ROCK, AR 72205-5551
(501) 686-5853
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R076819
AR
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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