Individual
MARSHA REQUITA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
701 N WEST AVE, EL DORADO, AR 71730-4654
(870) 862-2331
(870) 862-2322
Mailing address
701 N WEST AVE, EL DORADO, AR 71730-4654
(870) 862-2331
(870) 862-2322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A03608
AR
363LF0000X
Family Nurse Practitioner
Primary
A003608
AR
Other
Enumeration date
11/23/2011
Last updated
02/22/2017
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