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Katrina Nicole Gallivan, APRN
Family Nurse Practitioner in Benton, Arkansas
NPI 1972055184

Katrina Nicole Gallivan is a Family Nurse Practitioner based in Little Rock, AR and is specialized in Family. Katrina Nicole Gallivan practices in Benton, AR and has the professional credentials of APRN. The NPI Number for Katrina Nicole Gallivan is 1972055184 and holds a License No. 223712 (Arkansas).

The current practice location address for Katrina Nicole Gallivan is 1501 Military Rd, Benton, AR and can be reached out via phone at 501-776-8341.

Location: 1501 Military Rd, Benton, AR, 72204-1858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972055184
Provider Name
Katrina Nicole Gallivan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1501 Military Rd, Benton, AR, 72204-1858
Phone Number
501-776-8341
Fax Number
Provider Enumeration Date
11/04/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1501 Military Rd
City
Benton
State
Arkansas
Zip
72015-2914
Phone Number
501-776-8341
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Military Rd
City
Benton
State
Arkansas
Zip
72015-2914
Phone Number
501-776-8341
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
223712 (Arkansas)
Definition
Definition to come...
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