Basic Information
| Provider Information | |||||||||
| NPI: | 1215414560 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LALIBERTE | ||||||||
| FirstName: | VIRGINIA | ||||||||
| MiddleName: | ARLETTE | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 133 HARMONY PARK | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719135417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247700 | ||||||||
| FaxNumber: | 5016235788 | ||||||||
| Practice Location | |||||||||
| Address1: | 133 HARMONY PARK | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719135417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247700 | ||||||||
| FaxNumber: | 5016235788 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2018 | ||||||||
| LastUpdateDate: | 05/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | A005743 | AR | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | A005743 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.