Healthcare Provider Details

I. General information

NPI: 1508231010
Provider Name (Legal Business Name): MRS. KATHARINE DANIELLE ARBURN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 10/30/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COOPER LN.
BELLA VISTA AR
72715
US

IV. Provider business mailing address

2 COOPER LN.
BELLA VISTA AR
72715-8163
US

V. Phone/Fax

Practice location:
  • Phone: 479-263-7688
  • Fax:
Mailing address:
  • Phone: 479-263-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: