Rauls, Amanda Tenille

Rauls, Amanda Tenille is an individual health care provider with primary practice located at 3 Medical Plz , Mountain Home AR 72653-2918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rauls, Amanda Tenille can be contacted via phone (870) 424-3400.

Contact Information

Primary practice address
3 Medical Plz Mountain Home AR 72653-2918
Phone: (870) 424-3400
Fax: (870) 424-4121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A02992 Arkansas

Profile Details

NPI number 1497871420
LBN Legal business name Rauls, Amanda Tenille
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jan 19th, 2016 - about 8 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 1497871420 NPPES
Arkansas MEDICAID 163346758

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