Healthcare Provider Details

I. General information

NPI: 1326200213
Provider Name (Legal Business Name): SARAH J RHOADS DNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST # 529
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

4301 W MARKHAM ST # 529
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 501-240-5268
  • Fax: 501-686-8695
Mailing address:
  • Phone: 501-240-5268
  • Fax: 501-686-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberA01501
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: