Deborah Ann Gatliff, NURSE PRACTITIONER
Individual provider Active NPI Adult Health Nurse Practitioner · Calico Rock, AR
NPI 1295563575 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1295563575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 228411 (AR)
- Practice address
- 10 Prison Cir
Calico Rock, AR 72519-9054 - Phone
- (870) 297-4311
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228411 | AR | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 228411 | AR | Yes |
Addresses
Primary practice location
10 Prison Cir
Calico Rock, AR 72519-9054
Mailing address
1636 Ark 354
Hardy, AR 72542-9346
Phone (870) 371-4125
Other providers in Calico Rock, AR
- Community Medical Center of Izard County Home Health and Hospice
- Community Medical Center of Izard County Home Health and Hospice
- Gretchin Cooper
- Colby Craig
- Lawrence Davis III
- Kelsey Gocke
- Jennette Lee Hiles
- Kiersten Hout
- Jennifer Wiseman Humphries
- Izard County Medical Center, LLC
All providers in Calico Rock, AR · Adult Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.