Individual provider · Type 1 NPI

Madelyn M. Shasteen

Military Health Care Provider · Fayetteville, AR

NPI number 1891418554 Active

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 695-1240 Map

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

300 other providers at this address

About NPI 1891418554

Madelyn M. Shasteen's National Provider Identifier is 1891418554, issued on Sep 19, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 19, 2022.