Individual
ANDREA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 W 12TH ST, LITTLE ROCK, AR 72204-1513
(501) 666-8686
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
R100699
AR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R100699
AR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R100699
AR
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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