Healthcare Provider Details

I. General information

NPI: 1821594409
Provider Name (Legal Business Name): ERIN RACHEL CREIGHTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN RACHEL WEATHERFORD

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 KANIS RD
LITTLE ROCK AR
72205-6203
US

IV. Provider business mailing address

10201 KANIS RD
LITTLE ROCK AR
72205-6203
US

V. Phone/Fax

Practice location:
  • Phone: 501-603-1214
  • Fax:
Mailing address:
  • Phone: 501-227-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License NumberE-18091
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: