| Mrs Theodora L Short, ADVANCED PRACTICE NU | |
|
9755 W. State Highway 22, Ratcliff, AR 72951-9000 | |
| (479) 635-5300 | |
| (479) 635-2010 |
| Full Name | Mrs Theodora L Short |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 9755 W. State Highway 22, Ratcliff, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295706182 | NPI | - | NPPES |
| A004 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A01027 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theodora L Short, ADVANCED PRACTICE NU Po Box 130, Ratcliff, AR 72951-0130 Ph: (479) 635-5300 | Mrs Theodora L Short, ADVANCED PRACTICE NU 9755 W. State Highway 22, Ratcliff, AR 72951-9000 Ph: (479) 635-5300 |
Wendy A. Gaston, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-369-2091 Fax: 479-369-4119 | |
Dr. Colleen Jane Atchley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-431-2050 Fax: 479-431-2051 | |
Peggy Rosson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-431-2050 Fax: 479-431-2051 | |
Mrs. April Revis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 West State Hwy 22, Ratcliff, AR 72951 Phone: 479-635-5300 Fax: 479-635-2010 |