MEDICARE: JULIANN 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	163WS0200X	School Registered Nurse	RN137692	AZ

General Provider Information

NPI Number	:	1427276716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANN ARNOLD

Provider Business Mailing Address
First Line	:	2340 W ALTA VISTA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-5326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 E LAFAYETTE BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-4433
Country	:	US
Telephone Number	:	480-484-2000
Fax Number	:

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

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