Healthcare Provider Details

I. General information

NPI: 1972428431
Provider Name (Legal Business Name): MICHELLE ANN HRITZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CENTERVIEW DR
LITTLE ROCK AR
72211-4349
US

IV. Provider business mailing address

1300 CENTERVIEW DR
LITTLE ROCK AR
72211-4349
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-8900
  • Fax: 501-537-7894
Mailing address:
  • Phone: 501-219-8900
  • Fax: 501-537-7894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number239485
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: