Healthcare Provider Details

I. General information

NPI: 1023128980
Provider Name (Legal Business Name): ARLENE M ZWALD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 N GEORGETOWN ST
ROUND ROCK TX
78664-3289
US

IV. Provider business mailing address

24912 SINGLETON BEND EAST RD
MARBLE FALLS TX
78654-3622
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-8480
  • Fax:
Mailing address:
  • Phone: 509-293-3794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30007452
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: