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Rashaeda Brimley
Student in an Organized Health Care Education/Training Program in Pine Bluff, Arkansas
NPI 1871170761

Rashaeda Brimley is a Student in an Organized Health Care Education/Training Program based in Pine Bluff, AR. Rashaeda Brimley practices in Pine Bluff, AR. The NPI Number for Rashaeda Brimley is 1871170761 and holds a License No. E-16284 (Arkansas).

The current practice location address for Rashaeda Brimley is 1601 W 40Th Ave Ste 100, Pine Bluff, AR and can be reached out via phone at 870-541-6010 and via fax at 870-541-6009. You can also correspond with Rashaeda Brimley through the mailing address at 1601 W 40TH AVE STE 100, PINE BLUFF, AR - 71603-6069 (mailing address contact number: 870-541-6010).

Location: 1601 W 40Th Ave Ste 100, Pine Bluff, AR, 71603-6069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871170761
Provider Name
Rashaeda Brimley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 W 40Th Ave Ste 100, Pine Bluff, AR, 71603-6069
Phone Number
870-541-6010
Fax Number
870-541-6009
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208D00000X 01 AR GENERAL PRACTICE
institution
Provider Business Practice Location Address Details
Address
1601 W 40Th Ave Ste 100
City
Pine Bluff
State
Arkansas
Zip
71603-6069
Phone Number
870-541-6010
Fax Number
870-541-6009
person
Provider Business Mailing Address Details
Address
1601 W 40Th Ave Ste 100
City
Pine Bluff
State
Arkansas
Zip
71603-6069
Phone Number
870-541-6010
Fax Number
870-541-6009
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
E-16284 (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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