Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0024182816 | VA |
NPI | 1003588989 |
---|---|
Provider Name | Christine Arnold |
First Address | Morgantown, WV 26508-6874 |
Second Address | Martinsville, VA 24112-1913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2021 |
Last Update Date | 29/09/2021 |