Individual
PEGGY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
18282 PEPPER HILLS DR, SILOAM SPRINGS, AR 72761-8955
(479) 790-8966
Mailing address
3271 HIGHWAY 412 E, SILOAM SPRINGS, AR 72761-8614
(479) 215-3070
(479) 524-1818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004255
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207074758
—
AR
Enumeration date
02/04/2015
Last updated
02/17/2016
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