RODRICK EDELEN MHPP NPI 1154777134

NPI Information

NPI: 1154777134
Provider Name: RODRICK EDELEN, MHPP
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
309 S BLOCK AVE APT 7
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 502-4159
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Rodrick Edelen, MHPP is a student in an organized health care education training program in Fayetteville, AR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Rodrick Edelen, MHPP NPI is 1154777134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

309 S BLOCK AVE APT 7
FAYETTEVILLE, AR
ZIP 72701-487
Phone: (479) 502-4159

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.

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	390200000X	Student in an Organized Health Care Education/Training Program			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	51509	OTHER	ARKANSAS	MHPP

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: 4/28/2024

NPI Synchronization or Removal

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