Serenity Health Center for Women, PA
Organization Active NPI Obstetrics & Gynecology Physician · Little Rock, AR
NPI 1871627240 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871627240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- E0253 (AR)
- Legal business name
- SERENITY HEALTH CENTER FOR WOMEN, PA
- Practice address
- 500 S University Ave
Suite 316
Little Rock, AR 72205-5302 - Phone
- (501) 603-9600
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Christal Waller, RN
- Title
- Office Administrator
- Phone
- (501) 603-9600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | E0253 | AR | Yes |
Addresses
Primary practice location
500 S University Ave
Suite 316
Little Rock, AR 72205-5302
Mailing address
500 S University Ave
Suite 316
Little Rock, AR 72205-5302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04828 | Other | HEALTHSOURCE | |
| 7420056 | Other | UNITED HEALTHCARE | |
| 16047000000 | Other | QUALCHOICE |
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All providers in Little Rock, AR · Obstetrics & Gynecology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.