9500 KANIS RD HICKINGBOTHAM OUTPATIENT CENTER
LITTLE ROCK, AR 72205-6324 US PECOS Enrolled
Arlene Sullivan
Nurse Practitioner (Acute Care)
- LITTLE ROCK, AR
- Phone: (501)-202-1902
- Last Updated 5/20/2008
Overview
Arlene Sullivan is a Nurse Practitioner (Acute Care) in the LITTLE ROCK area and has over 27 years of experience. Arlene Sullivan primary office location is at 9500 KANIS RD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1997 The NPI number is 1205850542 and the information was updated approximately 16 years ago.
Arlene Sullivan is affiliated with one medical group in the LITTLE ROCK area, ARKANSAS HEALTH GROUP.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| A01250 | AR |
| Type/Issuer | Identifier | State |
|---|---|---|
| MERCY | 71-0781138 | - |
| BCBS | 5U030 | - |
| TRICARE | 71-0781138028 | - |
| HEALTHLINK | 742252 | - |
| CIGNA | 7525325 | - |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X | AR | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040403000075 |
| PECOS Individual PAC ID: | 6305839747 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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