Apn Rainbow Pediatric Services, Pllc

NPI #1184825408 in Rogers, Arkansas

Provider Information

NPI Number
1184825408
Entity Type
Organization
Organization Name
Apn Rainbow Pediatric Services, Pllc
Primary Specialty
Nurse Practitioner
Enumeration Date
May 31, 2007
Last Updated
Sep 30, 2008

Practice Location

Address
5507 WALSH LANE
Address 2
STE 101
City
Rogers
ZIP Code
72758-8941
Phone
(479) 464-8231

Authorized Official

Name
MARILOU SHREVE-DOFFIN, APN
Title
OWNER
Phone
(479) 464-8231

Specialties & Taxonomy Codes

Specialty
Pediatrics
Nurse Practitioner

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