Individual
SAMANTHA CORRAL CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4301 W MARKHAM ST # 518, 5TH FLOOR UNIT E5, LITTLE ROCK, AR 72205-7101
(501) 526-0564
(501) 526-0599
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
M002133
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M002133
ARKANSAS STATE BOARD OF NURSING
AR
01
—
R104356
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
08/03/2017
Last updated
03/14/2022
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