Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Ettiene

Individual provider Case Manager/Care Coordinator · NPI 1407635337

Stacey Ettiene is a Case Manager/Care Coordinator in Conway, Arkansas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

132 Lowr Ridge RD
Conway, AR 72032-8518
Phone: (501) 315-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1407635337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing addressPo Box 1589, Benton, AR 72018-1589

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