Individual
MRS. SAMANTHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7000
Mailing address
10 TRELON DR, LITTLE ROCK, AR 72223-3921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004856
AR
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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