Individual
STEPHANIE A NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004505
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093181794
—
MO
05
—
200640320 A
—
OK
05
—
210803758
—
AR
01
—
444635YJ85
MEDICARE PTAN
AR
Enumeration date
08/17/2015
Last updated
03/30/2020
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