Doctor Name: | PATRICIA RICH |
NPI Number: | 1275995383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | A004624 |
Business Practice Address: | 8060 Counts Massie Rd Maumelle, AR - 721136657 |
Business Phone Number: | 5017910198 |
Business Fax Number: | 5013151720 |
Mailing Address: | Po Box 9178, RUSSELLVILLE |
State: | AR |
Postal Code: | 728119178 |
Phone Number: | 4794986700 |
Fax Number: | 4799684331 |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A004624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |