Provider Demographics
NPI: | 1134116833 |
---|---|
Name: | MEANS, FRANCES (CRNA) |
Entity Type: | Individual |
Prefix: | |
First Name: | FRANCES |
Middle Name: | |
Last Name: | MEANS |
Suffix: | |
Gender: | F |
Credentials: | CRNA |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 500 S UNIVERSITY AVE |
Mailing Address - Street 2: | SUITE 505 |
Mailing Address - City: | LITTLE ROCK |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72205-5302 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 501-664-4532 |
Mailing Address - Fax: | 501-663-4335 |
Practice Address - Street 1: | 500 S UNIVERSITY AVE |
Practice Address - Street 2: | SUITE 505 |
Practice Address - City: | LITTLE ROCK |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72205-5302 |
Practice Address - Country: | US |
Practice Address - Phone: | 501-664-4532 |
Practice Address - Fax: | 501-663-4335 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-09-29 |
Last Update Date: | 2008-05-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AR | C00370 | 367500000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AR | 59895 | Other | BLUE CROSS BLUE SHIELD |
AR | 157532001 | Medicaid | |
AR | 430018471 | Other | RAILROAD MEDICARE |
AR | 157532001 | Medicaid |