Healthcare Provider Details

I. General information

NPI: 1104231018
Provider Name (Legal Business Name): ANNA MARIE HARING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 W KINGSHIGHWAY
PARAGOULD AR
72450-4164
US

IV. Provider business mailing address

1000 W KINGSHIGHWAY STE 14
PARAGOULD AR
72450-4197
US

V. Phone/Fax

Practice location:
  • Phone: 870-205-2000
  • Fax: 870-205-2001
Mailing address:
  • Phone: 870-205-2000
  • Fax: 870-205-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-20701
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: