| Wound Solutions Of Nwa, Llc | |
|
5 Halsted Cir Ste 2b Rogers AR 72756-3185 | |
| (870) 898-0088 | |
| Not Available |
| Full Name | Wound Solutions Of Nwa, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Halsted Cir Ste 2b, Rogers, Arkansas |
| Authorized Official Name and Position | Heather Stallings (OWNER) |
| Authorized Official Contact | 8702732799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Solutions Of Nwa, Llc 1021 Neil Dr Jonesboro AR 72401-4462 Ph: () - | Wound Solutions Of Nwa, Llc 5 Halsted Cir Ste 2b Rogers AR 72756-3185 Ph: (870) 898-0088 |
| NPI Number | 1043904261 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 7517321466 |
|---|---|
| Medicare Enrollment ID | O20230912001308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043904261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Heather S Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359769 PECOS PAC ID: 1658505581 Enrollment ID: I20131009000714 |
| Provider Name | Johnny Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093104895 PECOS PAC ID: 0143547968 Enrollment ID: I20150316001272 |
| Provider Name | Lorri J Strider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770242794 PECOS PAC ID: 6305237736 Enrollment ID: I20211222002314 |
| Provider Name | Maria Rosal Visagas Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129250 PECOS PAC ID: 0244627990 Enrollment ID: I20220427000780 |
| Provider Name | Cara Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700534443 PECOS PAC ID: 4981085990 Enrollment ID: I20220722000599 |
| Provider Name | Charles Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861935967 PECOS PAC ID: 7315227972 Enrollment ID: I20220909002880 |
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