Provider Demographics
NPI:1134853815
Name:ARTHUR, STACEY MARIE (APRN)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:MARIE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19209 YARROW AVE
Mailing Address - Street 2:
Mailing Address - City:NORA SPRINGS
Mailing Address - State:IA
Mailing Address - Zip Code:50458-8807
Mailing Address - Country:US
Mailing Address - Phone:641-425-1483
Mailing Address - Fax:
Practice Address - Street 1:1720 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-1869
Practice Address - Country:US
Practice Address - Phone:641-456-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF162493363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health