NPI 1497878904

Department of Health and Human Services Division of Health

Organisation Public Health or Welfare Agency Little Rock, AR

Practice location

Address: 5800 W 10th St, Little Rock, AR 72204-1752
Phone: (501) 280-4940
Mailing address: 3108 Tanner Trl, Little Rock, AR 72210-1539

Authorised official

Name: Suzanne Michael
Title: Rnp II
Phone: (501) 772-7875

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence P00723 (AR)

Other Public Health or Welfare providers in Arkansas →

Registry record

NPI: 1497878904
Entity type: Organization
NPI issued: 9 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.