Individual
GALE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
624 HOSPITAL DRIVE, DEPT 4610, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
(954) 514-3979
Mailing address
PO BOX 2336, MOUNTAIN HOME, AR 72654-2336
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124032
AR
367500000X
Certified Registered Nurse Anesthetist
RN1723702
FL
Other
Enumeration date
05/10/2013
Last updated
03/19/2020
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