Individual
RITA BLACKWELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5912 WESTMINSTER, BENTON, AR 72019-6653
(404) 554-7100
Mailing address
5912 WESTMINSTER, BENTON, AR 72019-6653
(404) 554-7100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
217688
AR
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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