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
Phone: (260) 435-7612
Fax: (260) 435-7672
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467842344 | NPPES |
Indiana | MEDICAID | 201299250 |
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