Individual
ANDREA S BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9712 W MARKHAM ST, LITTLE ROCK, AR 72205-2124
(501) 280-0499
(501) 217-0222
Mailing address
9712 W MARKHAM ST, LITTLE ROCK, AR 72205-2124
(501) 280-0499
(501) 217-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001719
AR
363LG0600X
Gerontology Nurse Practitioner
A001719
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A962
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/29/2005
Last updated
09/29/2025
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