Individual
MICHELLE L TULGETSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R043232
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C001309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158382001
—
AR
01
—
430063334
RAILROAD MEDICARE
AR
01
—
5W398
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/29/2005
Last updated
06/17/2015
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