Healthcare Provider Details

I. General information

NPI: 1770763088
Provider Name (Legal Business Name): JOYCE BAILEY ARNETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 E FILLMORE ST
PHOENIX AZ
85006-3324
US

IV. Provider business mailing address

735 E FILLMORE ST
PHOENIX AZ
85006-3324
US

V. Phone/Fax

Practice location:
  • Phone: 602-257-4845
  • Fax: 602-257-4852
Mailing address:
  • Phone: 602-257-4845
  • Fax: 602-257-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN034139
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: