Healthcare Provider Details

I. General information

NPI: 1396348439
Provider Name (Legal Business Name): ERIN ARNETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 02/13/2021
Certification Date: 02/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 RUSH DR
SALIDA CO
81201-9627
US

IV. Provider business mailing address

7549 COUNTY ROAD 145
SALIDA CO
81201-9442
US

V. Phone/Fax

Practice location:
  • Phone: 719-530-2200
  • Fax: 719-530-2239
Mailing address:
  • Phone: 719-221-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0995971
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: