Individual
CALLIE MARGARET MATINCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1370
Mailing address
3321 S BOWMAN RD APT 1033, LITTLE ROCK, AR 72211-4685
(870) 251-7526
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
216416
AR
363LS0200X
School Nurse Practitioner
Primary
XXXXX
AR
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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