Healthcare Provider Details

I. General information

NPI: 1710892559
Provider Name (Legal Business Name): ANNE MEIXELL MARQUART RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 S THOMPSON ST STE A101
SPRINGDALE AR
72764-7344
US

IV. Provider business mailing address

3291 S THOMPSON ST STE A101
SPRINGDALE AR
72764-7344
US

V. Phone/Fax

Practice location:
  • Phone: 479-487-2236
  • Fax:
Mailing address:
  • Phone: 479-487-2236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number781
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: