Individual provider · Type 1 NPI

Michelle Anna Detka

Student in an Organized Health Care Education/Training Program · Springdale, AR

NPI number 1669077152 Active

Practice location

2601 Gene George Blvd
Springdale, AR 72762-0845

Call (479) 725-6800 Map

Fax (479) 725-6582

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPA-1450 (AR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669077152

Michelle Anna Detka's National Provider Identifier is 1669077152, issued on Dec 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springdale, AR. The record was last updated on May 6, 2026.