Staci Mae Risher
Individual provider Active NPI Case Manager/Care Coordinator · Magnolia, AR
NPI 1669734257 · NPPES record last updated Jun 11, 2012
Key facts
- NPI
- 1669734257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 815 Highway 160
Magnolia, AR 71753-9411 - Phone
- (870) 696-3702
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
815 Highway 160
Magnolia, AR 71753-9411
Mailing address
PO Box 56050
Little Rock, AR 72215-6050
Phone (501) 661-0720
Other providers in Magnolia, AR
- Mercedes Ray
- Jennifer Rayburn
- Brittany Gayle Reeves
- Cami Elizabeth Riggins
- Right at Home House Calls LLC
- Franklin Dowling Roberts
- Madison Ross
- Seketa S Ross
- James William Rotton
- James Kevin Rudder
All providers in Magnolia, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.