person
Rodrick Edelen, MHPP
Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas
NPI 1154777134

Rodrick Edelen is a Student in an Organized Health Care Education/Training Program based in Fayetteville, AR. Rodrick Edelen practices in Fayetteville, AR and has the professional credentials of MHPP. The NPI Number for Rodrick Edelen is 1154777134 and holds a License No. (Arkansas).

The current practice location address for Rodrick Edelen is 309 S Block Ave Apt 7, Fayetteville, AR and can be reached out via phone at 479-502-4159.

Location: 309 S Block Ave Apt 7, Fayetteville, AR, 72701-6487
person
Provider Profile Details
NPI Number
1154777134
Provider Name
Rodrick Edelen
Credential
MHPP
Provider Entity Type
Individual
Gender
Male
Address
309 S Block Ave Apt 7, Fayetteville, AR, 72701-6487
Phone Number
479-502-4159
Fax Number
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51509 01 AR MHPP
institution
Provider Business Practice Location Address Details
Address
309 S Block Ave Apt 7
City
State
Zip
72701-6487
Phone Number
479-502-4159
Fax Number
person
Provider Business Mailing Address Details
Address
309 S Block Ave Apt 7
City
State
Zip
72701-6487
Phone Number
479-502-4159
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Arkansas)
Definition
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.
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