Healthcare Provider Details

I. General information

NPI: 1982902383
Provider Name (Legal Business Name): HEATHER HELENE STEELY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 ADA AVE STE 301
CONWAY AR
72034-4986
US

IV. Provider business mailing address

2200 ADA AVE STE 301
CONWAY AR
72034-4986
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6560
  • Fax:
Mailing address:
  • Phone: 501-358-6560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003508
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: