Healthcare Provider Details

I. General information

NPI: 1770926511
Provider Name (Legal Business Name): DIANE PIKELIS ARNOLD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COLUMBIA AVE CHAPIN HIGH SCHOOL
CHAPIN SC
29036
US

IV. Provider business mailing address

300 COLUMBIA AVE CHAPIN HIGH SCHOOL
CHAPIN SC
29036
US

V. Phone/Fax

Practice location:
  • Phone: 803-575-5409
  • Fax:
Mailing address:
  • Phone: 803-575-5409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number50182
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: