Individual
MISS VICKI LYNN MABRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-5760
(501) 257-5796
Mailing address
15 SPRINGRIDGE DR, LITTLE ROCK, AR 72211-5473
(501) 224-6658
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
S01076 CNS
AR
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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