Individual
SUSAN HOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1711 E HARDING ST, MORRILTON, AR 72110-4507
(501) 354-4637
Mailing address
220 N PHOENIX AVE, RUSSELLVILLE, AR 72801-2826
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A004732
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213530758
—
AR
Enumeration date
04/20/2016
Last updated
05/20/2024
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