NPI 1891418554
Madelyn M Shasteen
Practice location
- Address
- 60 W Sunbridge Dr, Fayetteville, AR 72703-1822
- Phone
- (479) 695-1240
- Mailing address
- 2400 S 48th St, Springdale, AR 72762-6683
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1891418554
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Sep 2022
- Record last updated
- 19 Sep 2022
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.