Healthcare Provider Details

I. General information

NPI: 1679220677
Provider Name (Legal Business Name): MARIA PLATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MALVERN AVE STE 403
HOT SPRINGS AR
71901-7779
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 501-500-5001
  • Fax: 501-500-5008
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number219163
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: