MEDICARE: MR. MICHAEL ANDREW TROUTT APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	A004280	AR

General Provider Information

NPI Number	:	1659760635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ANDREW TROUTT APRN, FNP-C

Provider Business Mailing Address
First Line	:	2488 E 81ST ST STE 2000
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-4224
Country	:	US
Telephone Number	:	918-592-9020
Fax Number	:

Provider Business Practice Location Address
First Line	:	593 S HORSEBARN RD STE 200
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8798
Country	:	US
Telephone Number	:	918-592-9020
Fax Number	:

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

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	08/13/2025

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