Individual
STACI HERNDON GATHRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2708 RIFE MEDICAL LANE, SUITE 130, ROGERS, AR 72758
(479) 338-5555
(479) 338-5533
Mailing address
2708 RIFE MEDICAL LANE, SUITE 130, ROGERS, AR 72758-1452
(479) 338-5555
(479) 338-5533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003219
AR
Other
Enumeration date
12/17/2008
Last updated
07/17/2018
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