=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396348439
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN ARNETT NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2020
-----------------------------------------------------
Last Update Date | 02/13/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 RUSH DR
-----------------------------------------------------
City | SALIDA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81201-9627
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-530-2200
-----------------------------------------------------
Fax | 719-530-2239
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7549 COUNTY ROAD 145
-----------------------------------------------------
City | SALIDA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81201-9442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-221-0268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 0995971
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------