Newman, Stephanie A

Newman, Stephanie A is an sole proprietor health care provider with primary practice located at 3232 N Northhills Blvd , Fayetteville AR 72703-4005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Newman, Stephanie A can be contacted via phone (479) 587-1700.

Contact Information

Primary practice address
3232 N Northhills Blvd Fayetteville AR 72703-4005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A004505 Arkansas

Profile Details

NPI number 1093181794
LBN Legal business name Newman, Stephanie A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Mar 30th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093181794 NPPES
Missouri MEDICAID 1093181794
Missouri MEDICAID 200640320 A
Missouri MEDICAID 210803758
Missouri Other 444635YJ85

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