NPI 1154538247 · live from the CMS NPI Registry
Staci Marie Graber, APN
Nurse Practitioner, Pediatrics in Springdale, AR. National Provider Identifier 1154538247, active.
NPI record
| NPI | 1154538247 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5203 Willow Creek Dr. Ste 203, Springdale, AR 72762 |
| Practice phone | 479-757-8001 |
| Mailing address | 5501 Willow Creek Dr. Ste 203, Springdale, AR 72762 |
| Enumerated | May 17, 2007 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A001929 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.