Healthcare Provider Details

I. General information

NPI: 1427276716
Provider Name (Legal Business Name): JULIANN ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 E LAFAYETTE BLVD
PHOENIX AZ
85018-4433
US

IV. Provider business mailing address

2340 W ALTA VISTA RD
PHOENIX AZ
85041-5326
US

V. Phone/Fax

Practice location:
  • Phone: 480-484-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN137692
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: