MEDICARE: ARN VASCULAR CONSULTING PC

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1871487850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARN VASCULAR CONSULTING PC

Provider Business Mailing Address
First Line	:	745 VISTA TULOCAY LN UNIT 410
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-3177
Country	:	US
Telephone Number	:	843-469-9196
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 VISTA TULOCAY LN UNIT 410
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-3177
Country	:	US
Telephone Number	:	843-469-9196
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. NICOLE ANN JU
Credential	:
Telephone Number	:	925-389-6610

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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