Bearden, Phyllis A

Bearden, Phyllis A is an individual health care provider with primary practice located at 500 S University Ave Suite 505, Little Rock AR 72205-5307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bearden, Phyllis A can be contacted via phone (501) 664-4532.

Contact Information

Primary practice address
500 S University Ave Suite 505 Little Rock AR 72205-5307
Phone: (501) 664-4532
Fax: (501) 663-4335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C00281 Arkansas

Profile Details

NPI number 1063408755
LBN Legal business name Bearden, Phyllis A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063408755 NPPES
Arkansas MEDICAID 159545001
Arkansas Other 430018896
Arkansas Other 59409

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