Eddington, Michelle Dawn

Eddington, Michelle Dawn is an individual health care provider with primary practice located at 500 S University Ave Ste 219 , Little Rock AR 72205-5304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Eddington, Michelle Dawn can be contacted via phone (501) 227-7797.

Contact Information

Primary practice address
500 S University Ave Ste 219 Little Rock AR 72205-5304
Phone: (501) 227-7797
Fax: (501) 227-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C001141 Arkansas

Profile Details

NPI number 1568434967
LBN Legal business name Eddington, Michelle Dawn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568434967 NPPES
Arkansas Other 5U120 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 139227701 BLUE CROSS BLUE SHIELD

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