Healthcare Provider Details

I. General information

NPI: 1053652032
Provider Name (Legal Business Name): FRANCES L ARNOLD RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCES L ARNOLD-JOHNSON RDN

II. Dates (important events)

Enumeration Date: 03/15/2013
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 132ND ST SE STE C
EVERETT WA
98208-7200
US

IV. Provider business mailing address

3106 123RD ST SE
EVERETT WA
98208-6146
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-5108
  • Fax: 206-331-4193
Mailing address:
  • Phone: 206-486-5108
  • Fax: 206-331-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number01000061
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI60252564
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: