Individual
ANGELA NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1308 W 5TH AVE, CROSSETT, AR 71635-2500
(870) 364-6471
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L038042
AR
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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