Hargrave, Marlo Rae

Hargrave, Marlo Rae is an individual health care provider with primary practice located at 2200 Malcolm Ave , Newport AR 72112-3668. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hargrave, Marlo Rae can be contacted via phone (870) 512-2500.

Contact Information

Primary practice address
2200 Malcolm Ave Newport AR 72112-3668
Phone: (870) 512-2500
Fax: (870) 512-2525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R090426 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005695 Arkansas

Profile Details

NPI number 1275041923
LBN Legal business name Hargrave, Marlo Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Apr 20th, 2021 - about 3 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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