RIESA GUSEWELLE APN NPI 1972693448

NPI Information

NPI: 1972693448
Provider Name: RIESA GUSEWELLE, APN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8000
Get Directions

Riesa Gusewelle, APN is a gerontology nurse practitioner in Little Rock, AR. Riesa Gusewelle, APN NPI is 1972693448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-8000
Fax: (501) 526-5148

The enumeration date for this NPI number is 10/13/2006 and was last updated on 2/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	A01215	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P20728	MEDICARE UPIN
2	5W125	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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