Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Idella-Robichaud Vasquez, APRN, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1558822791

Kathleen Idella-Robichaud Vasquez, APRN, AGPCNP-BC is a Nurse Practitioner in Conway, Arkansas. Qualified in 2018, 8 years ago. Practices with Arkansas Urology, PA, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2200 Ada Ave Ste 201
Conway, AR 72034-4984
Phone: (501) 852-1360
Fax: (501) 552-5316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 United Dr Ste 120, Conway, AR 72032-7827 — (501) 358-6720

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence A006157 (AR)

Record details

NPI number1558822791
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGPCNP-BC
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Arkansas Urology, P.A. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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