MICHELLE J IBSEN M.D. NPI 1699890749

NPI Information

  • NPI: 1699890749
  • Provider Name: MICHELLE J IBSEN, M.D.
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • Address: 3470 LANDERS RD
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Phone: (615) 778-4066

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NPI Details

Michelle J Ibsen, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in North Little Rock, AR. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Michelle J Ibsen, M.D. NPI is 1699890749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3470 LANDERS RD
NORTH LITTLE ROCK, AR
ZIP 72117-541
Phone: (615) 778-4066

The enumeration date for this NPI number is 3/20/2007 and was last updated on 11/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineC7294ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15AA03G344MEDICARE UPINARKANSAS
25G344MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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