Provider Demographics
NPI:1114230539
Name:ARNOLD, MONTIQUITA (CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:MONTIQUITA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MANOR ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-1936
Mailing Address - Country:US
Mailing Address - Phone:870-739-6818
Mailing Address - Fax:870-739-6821
Practice Address - Street 1:401 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:AR
Practice Address - Zip Code:72360-2102
Practice Address - Country:US
Practice Address - Phone:870-295-5280
Practice Address - Fax:870-295-5390
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator