Provider Demographics
NPI:1760878508
Name:RATHKE, MELANIE A (APRN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:A
Last Name:RATHKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:2708 S RIFE MEDICAL LN
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1452
Mailing Address - Country:US
Mailing Address - Phone:479-338-5555
Mailing Address - Fax:479-338-5553
Practice Address - Street 1:2708 S RIFE MEDICAL LN
Practice Address - Street 2:SUITE 130
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1452
Practice Address - Country:US
Practice Address - Phone:479-338-5555
Practice Address - Fax:479-338-5553
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2023-12-08
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Provider Licenses
StateLicense IDTaxonomies
ARA004408363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics