Individual provider · Type 1 NPI

Theodora L. Short, ADVANCED PRACTICE NU

Nurse Practitioner · Ratcliff, AR

NPI number 1295706182 Active

Practice location

9755 W. State Highway 22
Ratcliff, AR 72951-9000

Fax (479) 635-2010

Mailing address

PO Box 130
Ratcliff, AR 72951-0130

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XA01027 (AR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295706182

Theodora L. Short, ADVANCED PRACTICE NU's National Provider Identifier is 1295706182, issued on Jan 30, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ratcliff, AR. The record was last updated on Oct 2, 2007.