Healthcare Provider Details

I. General information

NPI: 1316489909
Provider Name (Legal Business Name): PATRICE MARY ARMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICE MINDER

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 HEDGEPATH TER
HIGH POINT NC
27265-3296
US

IV. Provider business mailing address

898 HEDGEPATH TER
HIGH POINT NC
27265-3296
US

V. Phone/Fax

Practice location:
  • Phone: 814-254-5884
  • Fax:
Mailing address:
  • Phone: 814-254-5884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL006058
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: