Individual
MRS. HEATHER BRECKENRIDGE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205
(501) 552-3402
Mailing address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A005506
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
A005506
AR
Other
Enumeration date
02/09/2018
Last updated
08/07/2024
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