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NPI Code Detail

MEDICARE: ANNA KATHERINE ROSS APN

MEDICARE:   ANNA KATHERINE ROSS  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA005275AR

General Provider Information

NPI Number : 1235655531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KATHERINE ROSS APN
Provider Business Mailing Address
First Line : 3345 HWY 5 N STE 300
Second Line :
City : BRYANT
State : AR
Zip : 72019-9031
Country : US
Telephone Number : 501-521-1100
Fax Number :
Provider Business Practice Location Address
First Line : 3345 HWY 5 N STE 300
Second Line :
City : BRYANT
State : AR
Zip : 72019-9031
Country : US
Telephone Number : 501-521-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2017
Last Update Date : 01/17/2023

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Directions to “ ANNA KATHERINE ROSS APN” Practice Location

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