Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DN7885 | FL |
NPI | 1003875667 |
---|---|
Provider Name | Dr. Nancy S. Arnold |
First Address | Pensacola, FL 32534-1733 |
Second Address | Pensacola, FL 32534-1733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 22/01/2014 |