# SERENITY HEALTH CENTER FOR WOMEN, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871627240
- **Authorized official:** CHRISTAL WALLER RN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (501) 603-9600

## Contact information

- **Practice address:** 500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302
- **Practice address phone:** (501) 603-9600
- **Mailing address:** 500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | E0253 | AR | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04828 | HEALTHSOURCE | — |
| 01 | — | 16047000000 | QUALCHOICE | — |
| 01 | — | 7420056 | UNITED HEALTHCARE | — |