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NPI Code Detail

MEDICARE: PHILIP PROUSNITZER

MEDICARE: PHILIP PROUSNITZER
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
1363LA2100XAcute Care Nurse Practitioner237680AR
2163WE0003XEmergency Registered NurseR101082AR

General Provider Information

NPI Number : 1437043973
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP PROUSNITZER
Provider Business Mailing Address
First Line : 4301 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-614-2006
Fax Number :
Provider Business Practice Location Address
First Line : 4301 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-614-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/04/2026

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Directions to “ PHILIP PROUSNITZER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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