MEDICARE: LOUISE M ARLIEN CNP

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	R0921574	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R0921574	OTHER	MN	RN LICENSE

General Provider Information

NPI Number	:	1437158490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE M ARLIEN CNP

Provider Business Mailing Address
First Line	:	PO BOX 1007
Second Line	:
City	:	HOWARD LAKE
State	:	MN
Zip	:	55349-1007
Country	:	US
Telephone Number	:	952-442-3190
Fax Number	:	952-442-3185

Provider Business Practice Location Address
First Line	:	900 6TH ST
Second Line	:
City	:	HOWARD LAKE
State	:	MN
Zip	:	55349-5647
Country	:	US
Telephone Number	:	952-442-3190
Fax Number	:	952-442-3185

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	06/10/2009

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