Individual
MRS. BRANDY VANELL MARTISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2270 HIGHWAY 79 S, MAGNOLIA, AR 71753-9129
(870) 235-6001
Mailing address
2270 HIGHWAY 79 S, MAGNOLIA, AR 71753-9129
(870) 235-6001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125499
AR
Other
Enumeration date
07/26/2020
Last updated
06/15/2023
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