Provider Demographics
NPI:1154048262
Name:TURBEVILLE, ELIZABETH TLAPEK (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TLAPEK
Last Name:TURBEVILLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:TLAPEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4220 N RODNEY PARHAM RD STE 320
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2466
Mailing Address - Country:US
Mailing Address - Phone:501-246-1042
Mailing Address - Fax:501-217-3809
Practice Address - Street 1:4220 N RODNEY PARHAM RD STE 320
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2466
Practice Address - Country:US
Practice Address - Phone:501-246-1042
Practice Address - Fax:501-217-3809
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-1122363A00000X
ARPT2002-074363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR291979795Medicaid