Healthcare Provider Details

I. General information

NPI: 1659760635
Provider Name (Legal Business Name): MICHAEL ANDREW TROUTT APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 MEDICAL CIR STE 1
NASHVILLE AR
71852-8613
US

IV. Provider business mailing address

1703 MOUNT PLEASANT DR
NASHVILLE AR
71852-3748
US

V. Phone/Fax

Practice location:
  • Phone: 870-912-6027
  • Fax: 870-912-6026
Mailing address:
  • Phone: 870-912-6027
  • Fax: 870-912-6026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004280
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: