Individual
CAROL LYNN SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R79697
AR
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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