MEDICARE: HAILEY MARIE ARRUDA RN

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	163W00000X	Registered Nurse	RN2357214	MA

General Provider Information

NPI Number	:	1578209193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY MARIE ARRUDA RN

Provider Business Mailing Address
First Line	:	293 STAFFORD RD
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-2537
Country	:	US
Telephone Number	:	774-473-0128
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 HAWTHORN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-4938
Country	:	US
Telephone Number	:	508-997-1570
Fax Number	:

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

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	05/06/2022

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