Provider Demographics
NPI:1811749831
Name:DUPRIEST, AIMEE MICHELE (LPN)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:MICHELE
Last Name:DUPRIEST
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9510 BARBARA RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-7408
Mailing Address - Country:US
Mailing Address - Phone:501-350-6735
Mailing Address - Fax:
Practice Address - Street 1:9510 BARBARA RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-7408
Practice Address - Country:US
Practice Address - Phone:501-350-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL056097164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse