Arnold, Marena A.

Arnold, Marena A. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Suite 120, Fort Wayne IN 46804-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Arnold, Marena A. can be contacted via phone (260) 435-7612.

Contact Information

Primary practice address
7910 W Jefferson Blvd Suite 120 Fort Wayne IN 46804-4159
Fax: (260) 435-7672
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71005456A Indiana

Profile Details

NPI number 1467842344
LBN Legal business name Arnold, Marena A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2015
Last updated Sep 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467842344 NPPES
Indiana MEDICAID 201299250

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