Berry, Martha G

Berry, Martha G is an individual health care provider with primary practice located at 2508 Crestwood Rd , North Little Rock AR 72116-7623. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Berry, Martha G can be contacted via phone (501) 758-2298.

Contact Information

Primary practice address
2508 Crestwood Rd North Little Rock AR 72116-7623
Phone: (501) 758-2298
Fax: (501) 758-7877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01874 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R33544 Arkansas

Profile Details

NPI number 1073569828
LBN Legal business name Berry, Martha G
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 18th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073569828 NPPES
Arkansas Other 492829ZNUD MEDICARE
Arkansas MEDICAID 189490758 MEDICARE

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