Individual
STEPHANIE BOLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 LINWOOD DR, PARAGOULD, AR 72450-7384
(870) 450-0585
Mailing address
2911 LINWOOD DR, PARAGOULD, AR 72450-7384
(870) 450-0585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126128
AR
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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