Provider Demographics
NPI:1003162702
Name:ARNOLD, SYDNEY LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LYNN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LYNN
Other - Last Name:HENKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:400 N. FULLERTON
Mailing Address - Street 2:
Mailing Address - City:PRONCETON
Mailing Address - State:MO
Mailing Address - Zip Code:64673-1418
Mailing Address - Country:US
Mailing Address - Phone:660-748-4040
Mailing Address - Fax:660-748-4020
Practice Address - Street 1:400 N. FULLERTON
Practice Address - Street 2:
Practice Address - City:PRONCETON
Practice Address - State:MO
Practice Address - Zip Code:64673-1418
Practice Address - Country:US
Practice Address - Phone:660-748-4040
Practice Address - Fax:660-748-4020
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012022609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily