Individual
STEPHANNIE CAWIEZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 CHILDERS AVE, LAMAR, AR 72846-8161
(479) 885-3966
(479) 885-0290
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 790-5110
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004502
AR
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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