Individual
MRS. RANA DIANE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-0249
Mailing address
204 TAMARIND ST, HARRISON, AR 72601-4818
(870) 741-7161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01507
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145381758
—
AR
01
—
500024097
RAILROAD MEDICARE
AR
Enumeration date
01/12/2007
Last updated
12/30/2021
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