MEDICARE: MICHELLE KATHLEEN AULD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SF0001X	Family Health Clinical Nurse Specialist	A004894	AR
2	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	A004894	AR

General Provider Information

NPI Number	:	1336699941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KATHLEEN AULD

Provider Business Mailing Address
First Line	:	1661 AIRPORT RD
Second Line	:	SUITE D
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-7951
Country	:	US
Telephone Number	:	501-625-7500
Fax Number	:	501-625-7777

Provider Business Practice Location Address
First Line	:	120 ADCOCK RD
Second Line	:	SUITE D
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-8184
Country	:	US
Telephone Number	:	501-547-5691
Fax Number	:	501-651-4296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	03/31/2026

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Directions to “ MICHELLE KATHLEEN AULD ” Practice Location

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