| Condren Family Nutrition | |
|
4 Shackleford Plz Ste 209, Little Rock, AR 72211-1844 | |
| (501) 779-8327 | |
| (501) 500-5750 |
| Full Name | Condren Family Nutrition |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4 Shackleford Plz Ste 209, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467122309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Agnes Condren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265899421 PECOS PAC ID: 4183929219 Enrollment ID: I20160226000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Condren Family Nutrition 4 Shackleford Plz Ste 209, Little Rock, AR 72211-1844 Ph: (501) 779-8327 | Condren Family Nutrition 4 Shackleford Plz Ste 209, Little Rock, AR 72211-1844 Ph: (501) 779-8327 |
Central Arkansas Radiation Therapy Institute Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
April M Hobbs, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Slot 574-01, Little Rock, AR 72205 Phone: 501-686-5788 | |
Ms. Alexandria Bridges, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 | |
Ms. Ambrazia Sublett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4710 Sam Peck Rd # 1-2004, Little Rock, AR 72223 Phone: 615-674-0336 | |
Cathryn Rene Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, 120/lr, Little Rock, AR 72205 Phone: 502-257-6760 | |
Mrs. Courtney Byrum, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4 Shackleford Plz Ste 209, Little Rock, AR 72211 Phone: 501-779-8327 Fax: 501-500-5750 | |
Eric James Siebenmorgen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1701 S Shackleford Rd, Little Rock, AR 72211 Phone: 501-219-7000 |