Provider Demographics
NPI:1033197249
Name:ARNOLD, GINA L (RN, NP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:L
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7671 N BAIRD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0283
Mailing Address - Country:US
Mailing Address - Phone:559-438-3038
Mailing Address - Fax:559-487-7893
Practice Address - Street 1:347 E BARSTOW AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6039
Practice Address - Country:US
Practice Address - Phone:559-224-0900
Practice Address - Fax:559-224-9009
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6999363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA430721OtherREGISTERED NURSE LIC
CA6999OtherNURSE PRACTITIONER LIC