Individual
MARINA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 HOSPITAL DR, CAMDEN, AR 71701-4615
(870) 836-5013
(870) 836-7961
Mailing address
415 HOSPITAL DR, CAMDEN, AR 71701-4615
(870) 836-5013
(870) 836-7961
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A004148
AR
363LA2200X
Adult Health Nurse Practitioner
A004148
AR
363LG0600X
Gerontology Nurse Practitioner
A004148
AR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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