Individual
VICTORIA L LOUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 516-5436
Mailing address
PO BOX 887, HAZEN, AR 72064-0887
(501) 516-5436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005770
AR
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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