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Individual

AMY MICHELE RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4301 W MARKHAM ST # 519, LITTLE ROCK, AR 72205-7101
(501) 590-3022
(501) 686-7040
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004725
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F0316150
AANP CERTIFICATION PROGRAM
Enumeration date
06/07/2016
Last updated
08/04/2022
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