Individual
ERICA ELLIOTT BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
608 S HIGHWAY 65 82 STE C, LAKE VILLAGE, AR 71653-1744
(870) 265-9810
(870) 265-9813
Mailing address
PO BOX 849, OAK GROVE, LA 71263-0849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005285
AR
363LF0000X
Family Nurse Practitioner
AP09412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005285
CERTIFIED NURSE PRACTIONER
AR
Enumeration date
07/11/2017
Last updated
11/10/2020
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