Mary A Coleman, RN
Individual provider Active NPI Registered Nurse · Siloam Springs, AR
NPI 1972831964 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1972831964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R45147 (AR)
- Practice address
- 109 N Britt St
Siloam Springs, AR 72761-2823 - Phone
- (479) 238-6160
- NPI assigned
- Dec 2, 2009
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30806 | AK | MD | Registered Nurse |
| R45147 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 30806 | AK | |
| Registered Nurse | 163W00000X | R45147 | AR | Yes |
Addresses
Primary practice location
109 N Britt St
Siloam Springs, AR 72761-2823
Mailing address
109 N Britt St
Siloam Springs, AR 72761-2823
Phone (479) 238-6160
Other providers in Siloam Springs, AR
- Jacob Cazort Cockcroft
- Chelsea Kaitlyn Coffelt
- Sloane Audie Coffey
- Ezra Lee Cole
- Jack Andrew Coleman Jr.
- Veronica Yamilet Collier
- Cheryl Raye Comfort
- Tauri Rose Cooley
- Donna Marie Copeland
- William Dixon Corbin
All providers in Siloam Springs, AR · Registered 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 Dec 2, 2009. 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.