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NPI Code Detail

MEDICARE: STEPHANIE ANN RAGSDALE ANP

MEDICARE: STEPHANIE ANN RAGSDALE ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA03369AR

General Provider Information

NPI Number : 1467763110
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANN RAGSDALE ANP
Provider Business Mailing Address
First Line : 120 ADCOCK RD A
Second Line : FIRST CARE WALK-IN CLINIC
City : HOT SPRINGS NATIONAL PARK
State : AR
Zip : 71913-7958
Country : US
Telephone Number : 501-651-4500
Fax Number :
Provider Business Practice Location Address
First Line : 4517 PARK AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-9476
Country : US
Telephone Number : 501-623-7900
Fax Number : 501-623-7337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2010
Last Update Date : 11/14/2015

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Directions to “ STEPHANIE ANN RAGSDALE ANP” Practice Location

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