Male or Other

Samuel L. Middleton CPNP-AC

Pediatric Nurse Practitioner in Little Rock, AR(View on Map)

Full Name

Samuel Lewis Middleton CPNP-AC

NPI Number

1184336844

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/14/2022

Specialties

(Taxonomies)

Code

363LP0200X
163W00000X

Primary Taxonomy

Yes
No

Licenses

State

Arkansas
Arkansas

License Number

124455
R088793

Contact
Information

Purpose

Mailing
Location

Address

1 CHILDRENS WAY # 653
1 CHILDRENS WAY

City

Little Rock
Little Rock

State

AR
AR

Postal Code

72202-3500
72202-3500

Country

US
US

Telephone Number

(501) 364-1100
(501) 364-1430

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/08/2023

Provider Address

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