| Stacy Renee Tidwell, APRN | |
|
4618 Willow Ridge Way, Rogers, AR 72758-8089 | |
| (479) 587-1700 | |
| Not Available |
| Full Name | Stacy Renee Tidwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 4618 Willow Ridge Way, Rogers, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265746820 | NPI | - | NPPES |
| 184226758 | Medicaid | AR | |
| 1265746820 | Medicaid | MO | |
| 200301950A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A003421 (Arkansas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | A003421 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Renee Tidwell, APRN 4618 Willow Ridge Way, Rogers, AR 72758-8089 Ph: () - | Stacy Renee Tidwell, APRN 4618 Willow Ridge Way, Rogers, AR 72758-8089 Ph: (479) 587-1700 |
Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555 | |
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235 | |
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989 | |
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 |