Healthcare Provider Details

I. General information

NPI: 1932882297
Provider Name (Legal Business Name): LINDSAY SAMAREA ROSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WESTFIELD CIR
LITTLE ROCK AR
72210-6945
US

IV. Provider business mailing address

16 WESTFIELD CIR
LITTLE ROCK AR
72210-6945
US

V. Phone/Fax

Practice location:
  • Phone: 501-837-0468
  • Fax:
Mailing address:
  • Phone: 501-837-0468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number125097
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: