Individual
MS. MARY SHA MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4300 W 7TH ST, 111J/LR, LITTLE ROCK, AR 72205-5446
(501) 257-5860
(501) 257-5813
Mailing address
4800 RIDGEFIELD LN, LITTLE ROCK, AR 72223-9255
(501) 257-5860
(501) 257-5813
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
168357
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
A01121ANP
AR
Other
Enumeration date
12/01/2005
Last updated
04/15/2010
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