| Stephannie Cawiezell, | |
|
635 Childers Ave, Lamar, AR 72846-8161 | |
| (479) 885-3966 | |
| (479) 885-0290 |
| Full Name | Stephannie Cawiezell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 635 Childers Ave, Lamar, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487020855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004502 (Arkansas) | Primary |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephannie Cawiezell, Po Box 130, Ratcliff, AR 72951-0130 Ph: (479) 790-5110 | Stephannie Cawiezell, 635 Childers Ave, Lamar, AR 72846-8161 Ph: (479) 885-3966 |
Lauren Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 479-703-5000 | |
Sarah Joy Cook, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 870-895-2015 Fax: 870-895-2164 | |
Brandy Nicole Cooper, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 479-703-5000 Fax: 870-895-2164 | |
Sallie M Hampton, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Childers Street, Lamar, AR 72846 Phone: 479-885-3966 Fax: 479-885-3967 |