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NPI 1306020128

IndividualActive

Anita Brackin

NPI 1306020128 · Attendant Care Provider · Blytheville, AR

Provider details

NPI number: 1306020128
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: 164582782783 (AR)

Practice location

440 Rosemary Ln

Blytheville, AR 72315-1738

Phone: (870) 623-6222

Fax: (870) 763-1202

More AR providers

Mailing address

440 Rosemary Ln

Blytheville, AR 72315-1738

Registry dates

Enumerated: 2007-12-28
Last updated: 2007-12-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anita Brackin — NPI 1306020128, Blytheville, AR | NPI Central