Graber, Staci Marie

Graber, Staci Marie is an individual health care provider with primary practice located at 5203 Willow Creek Dr. Ste 203 , Springdale AR 72762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Graber, Staci Marie can be contacted via phone (479) 757-8001.

Contact Information

Primary practice address
5203 Willow Creek Dr. Ste 203 Springdale AR 72762
Phone: (479) 757-8001
Fax: (479) 750-0571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A001929 Arkansas

Profile Details

NPI number 1154538247
LBN Legal business name Graber, Staci Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 21st, 2022 - about 2 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 1154538247 NPPES
Arkansas MEDICAID 167760758

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