Healthcare Provider Details

I. General information

NPI: 1538083100
Provider Name (Legal Business Name): ELIZABETH ARCADIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 OWEN DR
FAYETTEVILLE NC
28304-3432
US

IV. Provider business mailing address

724 SUNNY CREST DR
FAYETTEVILLE NC
28314-6549
US

V. Phone/Fax

Practice location:
  • Phone: 910-484-7183
  • Fax:
Mailing address:
  • Phone: 228-304-5427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number02507
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: