Healthcare Provider Details

I. General information

NPI: 1922315613
Provider Name (Legal Business Name): UHRONDA REEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 MACON DR STE C3
LITTLE ROCK AR
72211-1655
US

IV. Provider business mailing address

620 S LAUREL ST
PINE BLUFF AR
71601-4859
US

V. Phone/Fax

Practice location:
  • Phone: 501-916-2292
  • Fax: 888-414-7822
Mailing address:
  • Phone: 870-534-4900
  • Fax: 870-534-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number124427
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: