Roberta Anne Clark
Nurse Practitioner - Neonatal (Critical Care)
2710 S Rife Medical Ln
Rogers
, Arkansas 72758-1452
Roberta Anne Clark
Nurse Practitioner - Neonatal (Critical Care)
2710 S Rife Medical Ln
Rogers
, Arkansas 72758-1452
(479) 338-2274
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Roberta Anne Clark
- 2710 S Rife Medical Ln
- Rogers, AR
- Zip : 72758-1452
- Fax : (479) 338-2274
- Phone : (479) 338-3331
Second Address
- Roberta Anne Clark
- 2710 S Rife Medical Ln
- Rogers, AR
- Zip : 72758-1452
- Fax : (479) 338-2274
- Phone : (479) 338-3331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AO1898 ANP | AR |
National Provider Identifier
| NPI | 1184827891 |
|---|---|
| Provider Name | Roberta Anne Clark |
| First Address | Rogers, AR 72758-1452 |
| Second Address | Rogers, AR 72758-1452 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2007 |
| Last Update Date | 15/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.