# MRS. ELIZABETH LOUISE ROUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407805245
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A01060 | AR | — |
| 363L00000X | Nurse Practitioner | 95370 | OK | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1144307554 | GROUP NPI | OK |
| 05 | — | 129607758 | — | AR |
| 01 | — | 1649201286 | GROUP NPI | AR |
| 05 | — | 200264120A | — | OK |
| 01 | — | BC5T024 | BLUE CROSS | OK |