MEDICARE: MRS. MARY M STRICKLAND APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SM0705X	Medical-Surgical Clinical Nurse Specialist	S01075	AR

General Provider Information

NPI Number	:	1114914926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY M STRICKLAND APN

Provider Business Mailing Address
First Line	:	108 ASPEN CV
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-6654
Country	:	US
Telephone Number	:	870-246-6519
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 W 7TH ST
Second Line	:	SUITE 05H/LR
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5446
Country	:	US
Telephone Number	:	501-257-5117
Fax Number	:	501-257-5056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	07/08/2007

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