Individual
STACY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3875 W SUNSET AVE, SPRINGDALE, AR 72762-4959
(479) 751-9236
Mailing address
3875 W SUNSET AVE, SPRINGDALE, AR 72762-4959
(479) 751-9236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01115ANP
AR
Other
Enumeration date
06/12/2006
Last updated
10/29/2007
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