Michelle Molina Straughan, ARNP-C

Individual provider Active NPI Adult Health Nurse Practitioner · Little Rock, AR

NPI 1275827461 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1275827461
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
9254016 (FL)
Practice address
4300 W 7TH St
Little Rock, AR 72205-5446
Phone
(814) 972-2000
NPI assigned
Jun 5, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120607000139 FL Order and Referring Only - Nurse Practitioner 1052575867

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9254016 FL Yes

Addresses

Primary practice location

4300 W 7TH St
Little Rock, AR 72205-5446

Mailing address

2984 Sanctuary Cir
Lakeland, FL 33803-5482
Phone (813) 838-3165

Other providers in Little Rock, AR

All providers in Little Rock, AR · Adult Health Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.