Individual
MS. STACY M SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MSN
Contact information
Practice address
7001 ROGERS AVE STE 403, FORT SMITH, AR 72903-4034
(479) 785-2229
(479) 478-6745
Mailing address
7001 ROGERS AVE STE 403, FORT SMITH, AR 72903-4034
(479) 785-2229
(845) 353-1987
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F001316-1
NY
176B00000X
Midwife
M002126
AR
367A00000X
Advanced Practice Midwife
LNM000261
CT
367A00000X
Advanced Practice Midwife
Primary
M002126
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060967790
OXFORD HEALTHPLAN UNITED
—
01
—
26100
CONNECTICARE
—
01
—
40LNM0261CT05
ANTHEM BLUE CROSS
—
01
—
P3644739
TAX ID
—
Enumeration date
07/07/2006
Last updated
10/30/2024
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