Healthcare Provider Details

I. General information

NPI: 1073889101
Provider Name (Legal Business Name): RHONDA S ARNOLD ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SYLVANIA DR
DAYTON OH
45440-3237
US

IV. Provider business mailing address

2020 EXETER RD
GERMANTOWN TN
38138-3945
US

V. Phone/Fax

Practice location:
  • Phone: 937-320-5050
  • Fax: 937-320-5060
Mailing address:
  • Phone: 901-747-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.13260-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN222748
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: