Healthcare Provider Details

I. General information

NPI: 1093023426
Provider Name (Legal Business Name): ANNA PAULETTA LITTLETON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 MEDICAL CENTER DR
POCAHONTAS AR
72455
US

IV. Provider business mailing address

1245 GREENE ROAD 422
MARMADUKE AR
72443-8677
US

V. Phone/Fax

Practice location:
  • Phone: 870-892-6000
  • Fax:
Mailing address:
  • Phone: 901-378-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA03355 ANP
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003355
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA03355 ANP
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: