Healthcare Provider Details

I. General information

NPI: 1033197249
Provider Name (Legal Business Name): GINA L ARNOLD RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 E BARSTOW AVE SUITE 108
FRESNO CA
93710-6039
US

IV. Provider business mailing address

7671 N BAIRD AVE
FRESNO CA
93720-0283
US

V. Phone/Fax

Practice location:
  • Phone: 559-224-0900
  • Fax: 559-224-9009
Mailing address:
  • Phone: 559-438-3038
  • Fax: 559-487-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number6999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: