Provider Demographics
NPI:1457099954
Name:DUCOEUR, RHIANNON (RN, APRN)
Entity type:Individual
Prefix:MS
First Name:RHIANNON
Middle Name:
Last Name:DUCOEUR
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9845 PINTAIL
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-8905
Mailing Address - Country:US
Mailing Address - Phone:503-883-3569
Mailing Address - Fax:
Practice Address - Street 1:9845 PINTAIL
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-8905
Practice Address - Country:US
Practice Address - Phone:503-883-3569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR220900363LF0000X
ARR108314163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse