Individual provider · Type 1 NPI
Brandelein Marie Stefonek
Nurse Practitioner · Fayetteville, AR
Practice location
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Mailing address
308 Westfield St
Gravette, AR 72736-9371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 236599 (AR) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902749880
Brandelein Marie Stefonek's National Provider Identifier is 1902749880, issued on Apr 14, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 14, 2026.