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Individual

ELLEN SHOLLMIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8 LAVAL CT, LITTLE ROCK, AR 72223-8903
(501) 352-7417
Mailing address
8 LAVAL CT, LITTLE ROCK, AR 72223-8903

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01507
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159970001
AR
Enumeration date
09/20/2006
Last updated
11/27/2019
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