Stave, Madison Nicole

Stave, Madison Nicole is an individual health care provider with primary practice located at 1500 Dodson Ave Ste 230 , Fort Smith AR 72901-5179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Stave, Madison Nicole can be contacted via phone (479) 709-7490.

Contact Information

Primary practice address
1500 Dodson Ave Ste 230 Fort Smith AR 72901-5179
Phone: (479) 709-7490
Fax: (479) 709-7495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1164110953
LBN Legal business name Stave, Madison Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2023
Last updated Apr 28th, 2023 - about 3 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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