Healthcare Provider Details

I. General information

NPI: 1982700639
Provider Name (Legal Business Name): KATHERINE MALINDA BARGER CNS,APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR
NORTH LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

8209 N HILLS BLVD
NORTH LITTLE ROCK AR
72116-4937
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-3134
  • Fax: 501-257-3164
Mailing address:
  • Phone: 501-835-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberS01037 CNS
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: