Individual provider · Type 1 NPI

Elizabeth Marie Squires

Student in an Organized Health Care Education/Training Program · Bryant, AR

NPI number 1275260648 Active

Practice location

201 Sullivan Dr
Bryant, AR 72022-3974

Mailing address

6344 Lena Dr
Alexander, AR 72002-8033

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275260648

Elizabeth Marie Squires's National Provider Identifier is 1275260648, issued on Aug 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bryant, AR. The record was last updated on Aug 4, 2022.