Hopper, Staci L
Hopper, Staci L is an individual health care provider with primary practice located at 2708 Rife Medical Ln Ste 200 , Rogers AR 72758-1452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hopper, Staci L can be contacted via phone (479) 338-3080.Contact Information
Primary practice address
2708 Rife Medical Ln Ste 200
Rogers AR 72758-1452
Phone: (479) 338-3080
Fax: (479) 338-3089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01765 | Arkansas |
Profile Details
| NPI number | 1659345247 |
|---|---|
| LBN Legal business name | Hopper, Staci L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Aug 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659345247 | NPPES |
| Arkansas | Other | P00421524 | RR MCR |
| Arkansas | MEDICAID | 158379758 | RR MCR |
| Arkansas | MEDICAID | 200074830A | RR MCR |
Popular Providers
-
Rathke, Melanie A.
2708 S Rife Medical Ln Suite 130, Rogers AR 72758-1452 -
Mcadams, Holly D
2708 Rife Medical Lane Suite 210, Rogers AR 72758 -
Morgan, Megan Von Gremp
2708 S Rife Medical Ln Suite 130, Rogers AR 72758-1452 -
Luther, Rebecca S
500 S 52Nd St , Rogers AR 72758-8600 -
Winfrey, Amanda K.
2012 S Promenade Blvd , Rogers AR 72758-9073 -
Marvin, Craig F
5212 Village Pkwy Suite 2, Rogers AR 72758-8104 -
Mccord, Sara J
2708 S Rife Medical Ln Ste 210 , Rogers AR 72758-1456 -
Pauls, Rhonda Renee
102 Russell Rd , Rogers AR 72756-9319