ROSANNA NICOLE REPHAN (NPI# 1508399502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508399502 |
| Entity Type | Individual |
| Full Name | ROSANNA NICOLE REPHAN |
| Credential | APRN |
| Practice Address |
3101 14th St Mercy Convenient Care Bentonville AR 72712 |
| Mailing Address |
3101 Se 14th St Bentonville AR 72712-4900 |
| Practice Telephone | 4799866090 |
| Mailing Telephone | 4796966090 |
| Mailing Fax Number | 4796966250 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005115 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3101 14TH ST MERCY CONVENIENT CARE |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| 1740649920 | Patricia Ellen Sheppard | Nurse Practitioner | 3400 Se Macy, Bentonville, AR 72712 | 2016-02-17 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542145 | Kevin Copley | Nurse Practitioner | 1301 S Walton Blvd, Bentonville, AR 72712-6284 | 2019-01-30 |
| 1437655065 | Alysson Blythe Gaines | Nurse Practitioner | 1102 Nw Lowes Ave Ste 2, Bentonville, AR 72712-4978 | 2018-04-03 |
| 1629576152 | Dina Marie Wells | Nurse Practitioner | 3400 Se Macy Rd Ste 18, Bentonville, AR 72712-7844 | 2018-01-30 |
| 1740649920 | Patricia Ellen Sheppard | Nurse Practitioner | 3400 Se Macy, Bentonville, AR 72712 | 2016-02-17 |
| 1740291525 | Pamela J Chrisco | Nurse Practitioner | 3400 Se Macy Rd, 18, Bentonville, AR 72712-7841 | 2006-08-10 |
| 1003805771 | Deborah Mullens Shirey | Nurse Practitioner | 1706 Se Walton Blvd., Ozark Urgent Care, Bentonville, AR 72712 | 2005-10-17 |
| 1326041831 | William G. Davis II | Nurse Practitioner | 1706 Se Walton Blvd, Bentonville, AR 72712-3200 | 2005-05-30 |
| 1215545298 | Alison A. Knox | Nurse Practitioner | 2805 Mid Cities Dr, Bentonville, AR 72712-4270 | 2020-07-16 |
| 1912548058 | Hannah Rae Lamm | Nurse Practitioner | 2900 Medical Center Pkwy, Bentonville, AR 72712-3204 | 2019-09-30 |
| 1598318958 | Dara A Prowse | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2019-07-24 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on ROSANNA NICOLE REPHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.