Provider Demographics
NPI:1104371632
Name:LAW, ARLENE RUTH
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:RUTH
Last Name:LAW
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ARLENE
Other - Middle Name:RUTH
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC MSN
Mailing Address - Street 1:6634 VT ROUTE 313 W
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05250-8961
Mailing Address - Country:US
Mailing Address - Phone:518-701-1697
Mailing Address - Fax:
Practice Address - Street 1:6634 VT ROUTE 313 W
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05250-8961
Practice Address - Country:US
Practice Address - Phone:518-701-1697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341526-1363LF0000X
VT101.0123597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF341526OtherNP NY