Provider Demographics
NPI:1619959368
Name:SPRINGER, MICHAEL LOUIS SR (APN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LOUIS
Last Name:SPRINGER
Suffix:SR
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 HATCHER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72120-9715
Mailing Address - Country:US
Mailing Address - Phone:501-834-0466
Mailing Address - Fax:
Practice Address - Street 1:2300 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-4711
Practice Address - Country:US
Practice Address - Phone:501-257-1000
Practice Address - Fax:501-257-5701
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01037363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health