Basic Information
Provider Information
NPI: 1700088655
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONSON
FirstName: ELIZABETH
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: A.P.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12225 BRODIE CREEK TRL
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722114426
CountryCode: US
TelephoneNumber: 5013641469
FaxNumber: 5013641522
Practice Location
Address1: 800 MARSHALL ST
Address2: SLOT 839
City: LITTLE ROCK
State: AR
PostalCode: 722023510
CountryCode: US
TelephoneNumber: 5013641469
FaxNumber: 5013641522
Other Information
ProviderEnumerationDate: 06/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200XA01484 ANPARY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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