Broadway, Mashelia

Broadway, Mashelia is an individual health care provider with primary practice located at 4300 W 7Th St , Little Rock AR 72205-5446. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Broadway, Mashelia can be contacted via phone (501) 257-1000.

Contact Information

Primary practice address
4300 W 7Th St Little Rock AR 72205-5446
Phone: (501) 257-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A004180 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A004180 Arkansas

Profile Details

NPI number 1912306473
LBN Legal business name Broadway, Mashelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Aug 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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