Healthcare Provider Details
I. General information
NPI: 1750966644
Provider Name (Legal Business Name): SARAH ASHTON HARTUNG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/12/2021
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4301 W MARKHAM ST # 500
LITTLE ROCK AR
72205-7199
US
IV. Provider business mailing address
4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US
V. Phone/Fax
- Phone: 501-686-5838
- Fax: 501-603-1995
- Phone: 501-686-8000
- Fax: 501-526-5148
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 214856 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: