Healthcare Provider Details

I. General information

NPI: 1942791918
Provider Name (Legal Business Name): LINDA J ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA J BISHOP RN

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 07/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 VALLEY VIEW DR
LANCASTER PA
17601
US

IV. Provider business mailing address

2645 VALLEY VIEW DR
LANCASTER PA
17601-1470
US

V. Phone/Fax

Practice location:
  • Phone: 717-892-7464
  • Fax:
Mailing address:
  • Phone: 717-892-7464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018987
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN627818
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: