Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Health |
364SA2200X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1275182677 |
| LBN Legal business name | CENTRAL ARKANSAS SCREENING AND MEDICAL SERVICES |
| Authorized official | CHERIA RUSSENBERGER - (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/09/2019 |
| Last updated | 09/09/2019 - About 7 years ago |
| Identifiers | n/a |
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