Healthcare Provider Details

I. General information

NPI: 1033183488
Provider Name (Legal Business Name): LYNDA D ARNOLD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 N 22ND ST
BLAIR NE
68008-1128
US

IV. Provider business mailing address

812 N 22ND ST
BLAIR NE
68008-1128
US

V. Phone/Fax

Practice location:
  • Phone: 402-426-4611
  • Fax: 402-426-4642
Mailing address:
  • Phone: 402-426-4611
  • Fax: 402-426-4642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1035
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1035
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: