Provider Demographics
NPI:1144519570
Name:PAULS, RHONDA RENEE (APN, NP-C, MS)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:RENEE
Last Name:PAULS
Suffix:
Gender:F
Credentials:APN, NP-C, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-9319
Mailing Address - Country:US
Mailing Address - Phone:479-278-7189
Mailing Address - Fax:479-278-2199
Practice Address - Street 1:102 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-9319
Practice Address - Country:US
Practice Address - Phone:479-278-7189
Practice Address - Fax:479-278-2199
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA003559363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily