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NPI Code Detail

MEDICARE: MR. TERRY LEE ARNOLD II MSN, RN

MEDICARE: MR. TERRY LEE ARNOLD II MSN, RN
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
1163W00000XRegistered Nurse4704230220MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14704230220OTHERMIREGISTERED NURSE LICENSE

General Provider Information

NPI Number : 1417469370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY LEE ARNOLD II MSN, RN
Provider Business Mailing Address
First Line : 250 TIMBER LN
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-1748
Country : US
Telephone Number : 269-223-2342
Fax Number :
Provider Business Practice Location Address
First Line : 1040 N 10TH ST STE 100
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-6150
Country : US
Telephone Number : 269-353-4366
Fax Number : 269-353-4793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2017
Last Update Date : 11/01/2017

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