MEDICARE: SHENA R. RANON ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	229842	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407195324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENA R. RANON ARNP

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-338-3030
Fax Number	:	479-338-3079

Provider Business Practice Location Address
First Line	:	2708 S RIFE MEDICAL LANE SUITE 300
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758
Country	:	US
Telephone Number	:	863-604-6537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	12/17/2025

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Directions to “ SHENA R. RANON ARNP” Practice Location

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