Individual
STACEY LYNN ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
450 N HICO ST, SILOAM SPRINGS, AR 72761-2810
(479) 238-1222
(479) 238-1229
Mailing address
450 N HICO ST, SILOAM SPRINGS, AR 72761-2810
(479) 238-1222
(479) 238-1229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03257
AR
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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