MRS. CRYSTAL DAWN MARCUSSEN (NPI# 1194074393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194074393 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL DAWN MARCUSSEN |
| Credential | APN |
| Practice Address |
4301 W Markham St # 547-07 Little Rock AR 72205-7101 |
| Practice Telephone | 5015267425 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
A003738 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4301 W MARKHAM ST # 547-07 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| 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 | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005993 | Stacey Johnson | Nurse Practitioner | 4301 W Markham St # 519, Little Rock, AR 72205-7101 | 2013-12-12 |
| 1306211966 | Sarah Holland | Nurse Practitioner | 1 Lile Ct Ste 200, Little Rock, AR 72205-6240 | 2015-12-08 |
| 1538571575 | Shannon Renee Graham | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2014-05-27 |
| 1386060218 | Amanda Kay Payne | Nurse Practitioner | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2014-03-17 |
| 1134550767 | Megan Tucker | Nurse Practitioner | 5800 W 10th St, Little Rock, AR 72204-1752 | 2013-12-08 |
| 1063725711 | Becca Carle Austin | Nurse Practitioner | 5 Saint Vincent Cir Ste 300, Little Rock, AR 72205 | 2010-07-23 |
| 1396060356 | Tesa L Ivey | Nurse Practitioner | 4301 W Markham St, Slot 519, Little Rock, AR 72205-7101 | 2010-04-02 |
| 1801026620 | Edwina Sue Walthall | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2009-07-15 |
| 1982847224 | Ashley Brooke Keathley | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2009-04-16 |
| 1396835880 | Rosalyn Perkins | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MRS. CRYSTAL DAWN MARCUSSEN.
| 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.