Graham, Stacy
Graham, Stacy is an sole proprietor health care provider with primary practice located at 17 Saint Thomas Dr , Maumelle AR 72113-7003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Stacy can be contacted via phone (501) 912-2362.Contact Information
Primary practice address
17 Saint Thomas Dr
Maumelle AR 72113-7003
Phone: (501) 912-2362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004680 | Arkansas |
Profile Details
| NPI number | 1245699024 |
|---|---|
| LBN Legal business name | Graham, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2016 |
| Last updated | Feb 22nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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