Individual
NICOLE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY # 203, LITTLE ROCK, AR 72202-3500
(501) 364-3933
(501) 364-2939
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45445
TX
207L00000X
Anesthesiology Physician
E-15641
AR
207LP3000X
Pediatric Anesthesiology Physician
E-1561
AR
Other
Enumeration date
08/24/2016
Last updated
07/23/2025
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