RADIANT VIBE WELLNESS SPA LLC NPI 1881062628

NPI Information

  • NPI: 1881062628
  • Provider Name: RADIANT VIBE WELLNESS SPA LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2800 S UNIVERSITY AVE
    LITTLE ROCK, AR
    ZIP 72204
  • Phone: (501) 565-1888

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NPI Details

RADIANT VIBE WELLNESS SPA LLC is a family nurse practitioner in Little Rock, AR. RADIANT VIBE WELLNESS SPA LLC NPI is 1881062628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 S UNIVERSITY AVE
LITTLE ROCK, AR
ZIP 72204-006
Phone: (501) 565-1888

The provider's authorized official is April J Ellis .
The authorized official title is Nurse Practitioner and has the following contact phone number (501) 565-1888.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.

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
1363LF0000XNurse PractitionerFamilyA03714TEXASYes

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: 11/21/2025

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