Stephanie L Wagoner, APRN is a family nurse practitioner in Evening Shade, AR. Stephanie L Wagoner, APRN NPI is 1598350225. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1477 HIGHWAY 167
EVENING SHADE, AR
ZIP 72532-497
Phone: (870) 283-2554
The NPI 1598350225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.