Individual provider · Type 1 NPI

Rodrick Edelen, MHPP

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1154777134 Active

Practice location

309 S Block Ave Apt 7
Fayetteville, AR 72701-6487

Call (479) 502-4159 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1154777134

Rodrick Edelen, MHPP's National Provider Identifier is 1154777134, issued on May 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on May 10, 2016.