Healthcare Provider Details

I. General information

NPI: 1225872344
Provider Name (Legal Business Name): CHELSEA M RIGGS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/24/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11006 N GARLAND MCKEE RD
PRAIRIE GROVE AR
72753-8046
US

IV. Provider business mailing address

11006 N GARLAND MCKEE RD
PRAIRIE GROVE AR
72753-8046
US

V. Phone/Fax

Practice location:
  • Phone: 479-595-4911
  • Fax:
Mailing address:
  • Phone: 479-595-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberR097384
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: