MEDICARE: NATALIE KATHLEEN ARNOLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	50.009883RX	OH

General Provider Information

NPI Number	:	1215727219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE KATHLEEN ARNOLD

Provider Business Mailing Address
First Line	:	2550 DETROIT AVE APT 233
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2769
Country	:	US
Telephone Number	:	440-474-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 DETROIT AVE APT 233
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2769
Country	:	US
Telephone Number	:	440-474-2488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	11/12/2025

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