Individual provider · Type 1 NPI

Michelle Nickelatti Green, PA-C

Medical Physician Assistant · Rogers, AR

NPI number 1972984953 Active

Practice location

2710 S Rife Medical Ln
Rogers, AR 72758-1452

Call (479) 338-8000 Map

Fax (479) 986-3448

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Other practice locations

  • 3600 Gaston Ave, Wadley Ste 550, Dallas, TX 75246-1800 · (214) 820-1335

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA09869 (TX)
Medical Physician Assistant Primary 363AM0700XPA-1488 (AR)

Medical Physician Assistant: Definition to come...

120 other providers at this address

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About NPI 1972984953

Michelle Nickelatti Green, PA-C's National Provider Identifier is 1972984953, issued on Jun 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rogers, AR. The record was last updated on Apr 9, 2026.