Individual
ELLEN SHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9601 BAPTIST HEALTH DR, SUITE 990, LITTLE ROCK, AR 72205-6321
(501) 223-2860
(501) 223-2258
Mailing address
9601 BAPTIST HEALTH DR, SUITE 990, LITTLE ROCK, AR 72205-6321
(501) 223-2860
(501) 223-2258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R084216
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
A004130
AR
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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