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Individual

MARLENE MICHELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1050
Mailing address
22310 COL GLENN RD, LITTLE ROCK, AR 72210-5332
(501) 821-3137

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R20481
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
A03153 APN
AR

Other

Enumeration date
09/29/2008
Last updated
12/12/2013
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