Provider Demographics
NPI:1992334700
Name:FITZHUGH, REBECCA HOPE (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:HOPE
Last Name:FITZHUGH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:HOPE
Other - Last Name:HATTABAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:870-904-2807
Mailing Address - Fax:
Practice Address - Street 1:1 MERCY LN STE 201
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6457
Practice Address - Country:US
Practice Address - Phone:015-609-2229
Practice Address - Fax:501-962-3809
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA211598363L00000X
AR217798363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner