Phyllis A Bearden CRNA

NPI 1063408755 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063408755
Gender Female
Enumeration Date 09/27/2005
Last Updated 12/04/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
500 S UNIVERSITY AVE
SUITE 505
LITTLE ROCK AR, 72205-5307, US
Phone (501) 664-4532
Fax (501) 663-4335
Business Location
500 S UNIVERSITY AVE
SUITE 505
LITTLE ROCK AR, 72205-5307, US
Phone (501) 664-4532
Fax (501) 663-4335
Toxanomy
Taxonomy Code 367500000X
License State Arkansas
License Number C00281
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According to our database, Phyllis A Bearden CRNA NPI is 1063408755, taxonomy code is 367500000X and license number is C00281, license state is located at Arkansas. Phyllis A Bearden CRNA physically located at 500 S University Ave, Little Rock AR, 72205-5307. NPI Number Phyllis A Bearden CRNA has the Individual type.

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1063408755 NPI number is provided on an as is basis without warranty of any kind. 1063408755 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis A Bearden CRNA are for informational purposes only.