Healthcare Provider Details

I. General information

NPI: 1265262026
Provider Name (Legal Business Name): TIANNA MARIE ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 N WATER ST STE 400
MILWAUKEE WI
53202-2603
US

IV. Provider business mailing address

1433 N WATER ST STE 400
MILWAUKEE WI
53202-2603
US

V. Phone/Fax

Practice location:
  • Phone: 414-433-3346
  • Fax: 800-451-4058
Mailing address:
  • Phone: 414-433-3346
  • Fax: 800-451-4058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: