MARIANNE L BOETTGER (NPI# 1023279205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023279205 |
| Entity Type | Individual |
| Full Name | MARIANNE L BOETTGER |
| Credential | RN, NP |
| Practice Address |
4815 W Markham St Little Rock AR 72205-3866 |
| Practice Telephone | 5016612000 |
| Mailing Telephone | 5016612000 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R 149402-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4815 W MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548229909 | David L Grimes | Obstetrics & Gynecology | 4815 W Markham St, Slot 16, Little Rock, AR 72205-3866 | 2006-03-22 |
| 1972114981 | Taylor Marie Hornsby | Nurse Practitioner | 4815 W Markham St, Little Rock, AR 72205-3867 | 2020-08-13 |
| 1417566753 | Brittany Lewis | Nurse Practitioner | 4815 W Markham St, Little Rock, AR 72205-3867 | 2020-07-22 |
| 1083260871 | Tanya Anita Chancellor | Nurse Practitioner | 4815 W Markham St, Little Rock, AR 72205-3866 | 2019-08-16 |
| 1609323658 | Shannon Mckinney | Nurse Practitioner | 4815 W Markham St, Little Rock, AR 72205-3866 | 2016-09-07 |
| 1649686643 | Alan Mease | Pediatrics | 4815 W Markham St, Slot 16, Little Rock, AR 72205-3866 | 2014-07-10 |
| 1114264660 | Arkansas Department of Health Family Planning Clinic | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1548507080 | Arkansas Department of Health Std | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1184961625 | Arkansas Department of Health Immunizations | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1932446473 | Arkansas Department of Health Tuberculosis | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
| 1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
| 1104265594 | Cerisse Kahele Harcourt | Nurse Practitioner | 4301 W Markham St # 721-4, Little Rock, AR 72205-7101 | 2013-06-18 |
| 1871890046 | Beth Evans | Nurse Practitioner | 2200 S Bowman Rd, Little Rock, AR 72211-4136 | 2011-02-23 |
| 1619290871 | Mary Lakeflack | Nurse Practitioner | 44 Clervaux Dr, Little Rock, AR 72223-5501 | 2010-03-02 |
| 1346841723 | Garbo Watson Hearne | Nurse Practitioner | 1001 Wright Ave, Little Rock, AR 72206 | 2020-11-03 |
| 1528685807 | Courtney C Wilkinson | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-07-02 |
| 1831721059 | Keely Sparks | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-02-05 |
| 1396200978 | Charlett Watson | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-02-07 |
| 1689148587 | Marquitta Smith | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-01-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MARIANNE L BOETTGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.