Doctor Name: | MRS. HEATHER DEANN SPOON |
NPI Number: | 1790802809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A02985 ANP |
Business Practice Address: | 1609 N Medical Dr Stuttgart, AR - 721603274 |
Business Phone Number: | 8706737211 |
Business Fax Number: | |
Mailing Address: | 1609 N Medical Dr, STUTTGART |
State: | AR |
Postal Code: | 721603274 |
Phone Number: | 8706737211 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A02985 ANP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |