Individual
MRS. SHANA NICHOLE KLOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9600 BAPTIST HEALTH DR STE 320, LITTLE ROCK, AR 72205-6322
(501) 227-0421
(501) 227-0105
Mailing address
9600 BAPTIST HEALTH DR STE 320, LITTLE ROCK, AR 72205-6322
(501) 227-0421
(501) 227-0105
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
213330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213330
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
10/28/2020
Last updated
10/28/2020
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