Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD460823 | PA |
N | 208600000X | Surgeon | MD460823 | PA |
Y | 2086S0102X | Surgical Critical Care | 21256 | NV |
NPI | 1245596758 |
---|---|
Provider Name | Kristen Nicole Arnold |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2012 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15159658 | CAQH NUMBER (01) | NV |
21256 | NV MD LICENSE (01) | NV |
FA7430426 | NV DEA LICENSE (01) | NV |