Provider Demographics
NPI:1033819800
Name:ARNOLD, ALLYSON (PMHNP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8535
Mailing Address - Country:US
Mailing Address - Phone:406-212-4743
Mailing Address - Fax:
Practice Address - Street 1:17 2ND ST E
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6107
Practice Address - Country:US
Practice Address - Phone:406-730-1415
Practice Address - Fax:949-695-2725
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-213144363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health