Healthcare Provider Details

I. General information

NPI: 1982101119
Provider Name (Legal Business Name): CORI ANNE STEELE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORI ANNE BYRNE

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 S WEST END ST
SPRINGDALE AR
72764-5228
US

IV. Provider business mailing address

PO BOX 1523
FAYETTEVILLE AR
72702-1523
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-3630
  • Fax: 479-751-3308
Mailing address:
  • Phone: 479-571-6038
  • Fax: 479-582-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-956
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: