Individual
MEGAN L REDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 515, LITTLE ROCK, AR 72205-7101
(501) 603-1211
(501) 686-7618
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A002998
AR
363LF0000X
Family Nurse Practitioner
ATP000061
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A02998
LICENSE
AR
01
—
ATP000061
LICENSE
AR
Enumeration date
03/30/2007
Last updated
11/02/2022
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