Individual provider · Type 1 NPI

Michelle Sullivan Bruzatori, PA-C

Physician Assistant · Little Rock, AR

NPI number 1306205885 Active

Practice location

9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389

Fax (501) 227-0410

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-645 (AR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306205885

Michelle Sullivan Bruzatori, PA-C's National Provider Identifier is 1306205885, issued on Feb 12, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Little Rock, AR. The record was last updated on Apr 8, 2026.