Healthcare Provider Details

I. General information

NPI: 1356457329
Provider Name (Legal Business Name): NICOLE LOUISE ARCAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US

IV. Provider business mailing address

21 PURGATORY RD
EXETER RI
02822-2943
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-7345
  • Fax: 860-823-2940
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberLP00158
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number047670
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number047670
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: