Maleri Ricole Carpenter
Individual provider Active NPI Licensed Practical Nurse · Corning, AR
NPI 1669989810 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1669989810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L059538 (AR)
- Practice address
- 602 David St
Corning, AR 72422-7268 - Phone
- (870) 857-3655
- Fax
- (870) 857-3667
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| L059538 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L059538 | AR | Yes |
Addresses
Primary practice location
602 David St
Corning, AR 72422-7268
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other providers in Corning, AR
- Bradley Chiropractic Center, LLC
- Lisa Deann Bradley
- Amy Brickley-Boyd
- Jasmine Elexis Brickley
- Landon Alicia Brownfiel
- Shaina Marie Carpenter
- Cate Pharmacy Inc
- Dennis Dorne Cate
- Steven Jeffrey Cato
- Juan B Cazano
All providers in Corning, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2018. 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.