MEDICARE: ANDREA KRISTEN ARNOLDI

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	363LF0000X	Family Nurse Practitioner	4704345887	MI

General Provider Information

NPI Number	:	1457124422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA KRISTEN ARNOLDI

Provider Business Mailing Address
First Line	:	14146 HILL ST
Second Line	:
City	:	PRESQUE ISLE
State	:	MI
Zip	:	49777-8484
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14146 HILL ST
Second Line	:
City	:	PRESQUE ISLE
State	:	MI
Zip	:	49777-8484
Country	:	US
Telephone Number	:	920-713-2907
Fax Number	:

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

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/01/2023

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