NPI 1164110953
Madison Nicole Stave
Practice location
- Address
- 1500 Dodson Ave STE 230, Fort Smith, AR 72901-5179
- Phone
- (479) 709-7490
- Fax
- (479) 709-7495
- Mailing address
- 11001 Executive Center Dr STE 200, Little Rock, AR 72211-4393
Registered specialties
Advanced Practice Midwife
Primary
Registry record
- NPI
- 1164110953
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Apr 2023
- Record last updated
- 28 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.