Provider Demographics
NPI:1437769007
Name:MICHALEK, FERRIN (APRN)
Entity Type:Individual
Prefix:
First Name:FERRIN
Middle Name:
Last Name:MICHALEK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 SADDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-9566
Mailing Address - Country:US
Mailing Address - Phone:501-827-1858
Mailing Address - Fax:
Practice Address - Street 1:3225 SADDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-9566
Practice Address - Country:US
Practice Address - Phone:501-827-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily