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KRISTINIA PRATT MHPP, RN

Case Management >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1689928558

Individual Registrant:
 KRISTINIA  PRATT MHPP, RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
102 ELM STREET  TUCKERMAN, AR 72473 US
Tel: 870-349-1313  Fax: 870-349-1311

Contact information for business:
102 ELM STREET  TUCKERMAN, AR 72473 US
Tel: 870-349-1313  Fax: 870-349-1311

Registration Information:
NPI: 1689928558
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0400XNursing Service Providers
Registered Nurse
Case Management
ARR087658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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