Individual
MICHELLE DELORES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
(501) 225-7108
Mailing address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E4110
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154928001
—
AR
Enumeration date
03/28/2006
Last updated
08/16/2024
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