Individual
MICHELLE N DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701-7329
(479) 442-2822
(479) 582-1754
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004147
AR
Other
Enumeration date
06/30/2014
Last updated
06/25/2024
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