Provider Demographics
NPI:1881904357
Name:WATTS, RHEANA GRAY (RN)
Entity type:Individual
Prefix:
First Name:RHEANA
Middle Name:GRAY
Last Name:WATTS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1 CHILDRENS WAY # 653
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-4082
Practice Address - Street 1:1 CHILDRENS WAY # 203
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-3933
Practice Address - Fax:501-364-2939
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2022-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60202408367500000X
AR219373367500000X
WARN 60192123163W00000X
PARN586935163W00000X
DEL10038432163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse