DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THEODORA L SHORT, ADVANCED PRACTICE NU

Active

MRS. THEODORA L SHORT, ADVANCED PRACTICE NU is a Nurse Practitioner healthcare provider located in RATCLIFF, Arkansas. NPI 1295706182 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · RATCLIFF, AR

Registration Details

NPI Number
1295706182
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2006 (20.553271278213 yrs)
Last Updated
Oct 2, 2007
License
A01027 (AR)

Practice Information

Address
9755 W. STATE HIGHWAY 22
RATCLIFF, AR, 729519000
Browse AR providers · Browse ZIP 72951
Phone
4796355300
Fax
4796352010
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in RATCLIFF, AR

Name Credential NPI
MRS. APRIL REVIS APN 1841213238
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.