Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | LP00158 | RI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 047670 | CT |
NPI | 1356457329 |
---|---|
Provider Name | Nicole Louise Arcand |
First Address | Exeter, RI 02822-2943 |
Second Address | North Franklin, CT 06254-1807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 26/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008004043 | (05) | CT |
76-793 | BIRTH CERTIFICATE NUMBER (01) | RI |