Individual
STEPHANIE THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 E MAIN ST, PIGGOTT, AR 72454-2822
(870) 598-2546
Mailing address
811 COUNTY ROAD 455, PIGGOTT, AR 72454-8522
(870) 634-6428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43017
AR
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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