Individual
MRS. TONI DANIELLE MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
934 N GASKILL ST, HUNTSVILLE, AR 72740-1319
(479) 738-5500
(479) 738-1350
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(934) 479-4041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005529
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233548758
—
AR
01
—
A005529
STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE
AR
Enumeration date
07/13/2018
Last updated
05/21/2021
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