Individual
GUSSIE ANNETT MONEYMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
112 BRANTLEY RD, SEARCY, AR 72143-8315
(501) 268-6102
(501) 268-4445
Mailing address
105 KNOLLWOOD DR, SEARCY, AR 72143-8679
(501) 207-2738
(501) 268-4445
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A01184 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440109501
MEDICAID PRESCRIBER ID
AR
Enumeration date
08/13/2006
Last updated
09/17/2012
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