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NPI Code Detail

MEDICARE: STACI ARNOLD

MEDICARE:   STACI  ARNOLD
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
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1598212599
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI ARNOLD
Provider Business Mailing Address
First Line : 711 COLONIAL DR
Second Line : SUITE D
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-246-2162
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GOVERNMENT ST STE E
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-4802
Country : US
Telephone Number : 225-364-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 08/01/2018

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Directions to “ STACI ARNOLD ” Practice Location

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