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NPI Code Detail

MEDICARE: MRS. TAMIKA TRENAE ARNOLD RN

MEDICARE: MRS. TAMIKA TRENAE ARNOLD 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 NurseRN.417277OH

General Provider Information

NPI Number : 1679848519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMIKA TRENAE ARNOLD RN
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Provider Business Practice Location Address
First Line : 485 W MAIN ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2174
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2012
Last Update Date : 04/16/2020

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