Individual
ANTHONY VINCENT CIARAMITARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
871 W MAIN ST, BOONEVILLE, AR 72927-3420
(479) 675-4100
(870) 895-2164
Mailing address
101 W MAIN ST, HARDY, AR 72542-9566
(870) 856-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120256
AR
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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