Individual
MRS. STORMY ELAINE STANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
Mailing address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A005552
AR
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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