Healthcare Provider Details

I. General information

NPI: 1285071811
Provider Name (Legal Business Name): PATRICIA LUPE ARROYO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 BREN RD E
MINNETONKA MN
55343-9664
US

IV. Provider business mailing address

PO BOX 1459
MINNEAPOLIS MN
55440-1459
US

V. Phone/Fax

Practice location:
  • Phone: 520-401-8917
  • Fax:
Mailing address:
  • Phone: 520-401-8917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAP4916
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: