Stacey Lynn Enlow, APN
Nurse Practitioner, Family in Siloam Springs, AR. Individual provider (NPI-1).
NPI number1306072152
StatusActive
Last updated in NPPESJun 8, 2009
Details
- NPI
- 1306072152
- Entity type
- Individual (NPI-1)
- Name
- Stacey Lynn Enlow
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2009
- Last updated
- Jun 8, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A03257 | AR | Yes |
Practice location
450 N Hico StSiloam Springs, AR 72761-2810
Phone 479-238-1222 · Fax 479-238-1229
Mailing address
450 N Hico StSiloam Springs, AR 72761-2810
Phone 479-238-1222 · Fax 479-238-1229
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Family Nurse Practitioner providers in Siloam Springs · All 530 providers in Siloam Springs
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