person
Madelyn M Shasteen
Military Health Care Provider in Fayetteville, Arkansas
NPI 1891418554

Madelyn M Shasteen is a Military Health Care Provider based in Springdale, AR. Madelyn M Shasteen practices in Fayetteville, AR. The NPI Number for Madelyn M Shasteen is 1891418554 and holds a License No. (Arkansas).

The current practice location address for Madelyn M Shasteen is 60 W Sunbridge Dr, Fayetteville, AR and can be reached out via phone at 479-695-1240.

Location: 60 W Sunbridge Dr, Fayetteville, AR, 72762-6683
person
Provider Profile Details
NPI Number
1891418554
Provider Name
Madelyn M Shasteen
Credential
Provider Entity Type
Individual
Gender
Female
Address
60 W Sunbridge Dr, Fayetteville, AR, 72762-6683
Phone Number
479-695-1240
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
60 W Sunbridge Dr
City
State
Zip
72703-1822
Phone Number
479-695-1240
Fax Number
person
Provider Business Mailing Address Details
Address
60 W Sunbridge Dr
City
State
Zip
72703-1822
Phone Number
479-695-1240
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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