Individual
KATRINA NICOLE GALLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1501 MILITARY RD, BENTON, AR 72015-2914
(501) 776-8341
Mailing address
500 S UNIVERSITY AVE STE 600, LITTLE ROCK, AR 72205-5324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223712
AR
Other
Enumeration date
11/04/2016
Last updated
03/15/2026
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