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Individual

MICHELLE DAWN EDDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11610 HURON LN, LITTLE ROCK, AR 72211-1834
(501) 227-7797
(501) 227-7753
Mailing address
11610 HURON LN, LITTLE ROCK, AR 72211-1834
(501) 227-7797
(501) 227-7753

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001141
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139227701
AR
01
5U120
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/02/2006
Last updated
09/17/2024
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