Healthcare Provider Details

I. General information

NPI: 1962166785
Provider Name (Legal Business Name): ABBY SCHREKENHOFER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 UNITED DR STE 320
CONWAY AR
72032-7828
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK AR
72205-6328
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6017
  • Fax:
Mailing address:
  • Phone: 501-227-8422
  • Fax: 501-329-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: