MEDICARE: ASHLEY REBECCA SAWATSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	123056	AR

General Provider Information

NPI Number	:	1548128374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY REBECCA SAWATSKI

Provider Business Mailing Address
First Line	:	3608 W SOUTHERN HILLS BLVD STE 4
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8310
Country	:	US
Telephone Number	:	479-633-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 W SOUTHERN HILLS BLVD STE 4
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8310
Country	:	US
Telephone Number	:	479-633-7052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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