MEDICARE: MS. CHRISTI ANN ARTHUR RD LD CNSC

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	282N00000X	General Acute Care Hospital	1246	AR

General Provider Information

NPI Number	:	1306196845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTI ANN ARTHUR RD LD CNSC

Provider Business Mailing Address
First Line	:	4300 W MARKHAM ST
Second Line	:	574
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4024
Country	:	US
Telephone Number	:	501-686-7062
Fax Number	:	501-296-1380

Provider Business Practice Location Address
First Line	:	4300 W MARKHAM ST
Second Line	:	574
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4024
Country	:	US
Telephone Number	:	501-686-7062
Fax Number	:	501-296-1380

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

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