Healthcare Provider Details

I. General information

NPI: 1003115718
Provider Name (Legal Business Name): ANGELA J H ARSENAULT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8911 N CAPITAL OF TEXAS HWY STE 1110
AUSTIN TX
78759-7203
US

IV. Provider business mailing address

6929 COOPER RD
LANSING MI
48911-6527
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-5960
  • Fax: 877-384-3106
Mailing address:
  • Phone: 517-391-9581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704283310
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: