Individual
MS. KELLI AMBER MARENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNSC, APRN, PMHNP-BC
Contact information
Practice address
8 S BROADVIEW ST STE EANDF, GREENBRIER, AR 72058-9601
(501) 679-0232
Mailing address
4301 W MARKHAM ST # 560, LITTLE ROCK, AR 72205-7101
(501) 364-1830
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
216713
AR
Other
Enumeration date
07/08/2021
Last updated
05/03/2022
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