Sue Asher, APRN

Individual provider Active NPI Family Nurse Practitioner · Mena, AR

NPI 1992804447 · NPPES record last updated Jul 24, 2008

Key facts

NPI
1992804447
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN142933 NP (GA)
Practice address
1201 Mena St
Mena, AR 71953-4280
Phone
(479) 394-2332
Fax
(479) 437-3708
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN142933 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Medcare of Ellijay, LLC Past Accepting new patients
Immediate Medcare, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN142933 NP GA Yes
Pediatric Nurse Practitioner 363LP0200X RN142933 NP GA

Addresses

Primary practice location

1201 Mena St
Mena, AR 71953-4280

Mailing address

1201 Mena St
Mena, AR 71953-4280
Phone (479) 394-2332

Other providers in Mena, AR

All providers in Mena, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.