Provider Demographics
NPI:1194984336
Name:HEARN, STEPHEN ANDREW (PT, DPT, ACNP, APRN)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ANDREW
Last Name:HEARN
Suffix:
Gender:M
Credentials:PT, DPT, ACNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RIVER RUN RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-8883
Mailing Address - Country:US
Mailing Address - Phone:501-336-4035
Mailing Address - Fax:501-336-4035
Practice Address - Street 1:30 RIVER RUN RD
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-8883
Practice Address - Country:US
Practice Address - Phone:501-336-4035
Practice Address - Fax:501-336-4035
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6752251E1300X
ARA004568363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1194984336Medicare NSC