Wagoner Primary Care, LLC
Wagoner Primary Care, LLC is a Family Nurse Practitioner in Evening Shade, Arkansas. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1477 Highway 167Evening Shade, AR 72532-9497
Phone: (870) 283-2554
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1811578701 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Wagoner — President · (870) 283-2554 |
| NPI enumerated | April 21, 2021 |
| Last updated in NPPES | April 21, 2021 |
| Certification date | April 21, 2021 |
| Mailing address | 1477 Highway 167, Evening Shade, AR 72532-9497 |
Other providers in Evening Shade
-
Stephanie L Wagoner, APRN
1477 Highway 167, Evening Shade, AR 72532-9497 · (870) 283-2554