Individual
MS. TRACI L. ELLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
12600 CANTRELL RD, #200, LITTLE ROCK, AR 72223-1604
(501) 581-1212
(501) 712-1400
Mailing address
29 WEATHERWOOD DR, GREENBRIER, AR 72058-8816
(479) 414-8089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03361 ANP
AR
367A00000X
Advanced Practice Midwife
M01019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154125799
—
AR
Enumeration date
07/24/2006
Last updated
08/26/2016
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