NPI 1497564538 · live from the CMS NPI Registry
Tarah A Vick, APRN
Nurse Practitioner, Family in Little Rock, AR. National Provider Identifier 1497564538, active.
NPI record
| NPI | 1497564538 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4110 Outpatient Circle, Little Rock, AR 72205 |
| Practice phone | 501-603-1900 |
| Mailing address | 4301 W Markham St # 783, Little Rock, AR 72205 |
| Enumerated | January 3, 2025 |
| Last updated | February 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gastroenterology | 163WG0100X | 230436 (AR) |
| Nurse Practitioner, Family primary | 363LF0000X | 230436 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.