Most Relevant Information
Provider Data
| NPI Number: | 1003802794 |
| Provider Name: | DEBORAH WILMOTH CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R019451 |
Most Important Dates
| Enumeration Date: | 09/27/2005 |
| Last Updated: | 04/15/2020 |
Provider Practice Location
2 SAINT VINCENT CIR
LITTLE ROCK
AR
722055423
Practice Location Phone/Fax
| Phone: | 5016644532 |
| Fax: | 5016634335 |
Provider Mailing Location
500 S UNIVERSITY AVE STE 500
LITTLE ROCK
AR
722055307
Provider Mailing Phone/Fax
| Phone: | 5016644532 |
| Fax: | 5016634335 |