KATRINA NICOLE GALLIVAN

BENTON, AR
NPI1972055184
Former NameKATRINA NORMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  223712)
Enumeration Date2016-11-04
Last Update Date2024-09-25
Business Address
KATRINA NICOLE GALLIVAN APRN
1501 MILITARY RD
BENTON, AR 72015-2914
Phone number: 501-776-8341
Mailing Address
KATRINA NICOLE GALLIVAN APRN
5315 W 12TH ST
LITTLE ROCK, AR 72204-1858
Phone number: 605-504-3513
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