Provider Demographics
NPI:1114643574
Name:ARENDER, CARA (FNP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:ARENDER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 NORTH HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MO
Mailing Address - Zip Code:65338
Mailing Address - Country:US
Mailing Address - Phone:660-547-3915
Mailing Address - Fax:
Practice Address - Street 1:302 NORTH HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MO
Practice Address - Zip Code:65338
Practice Address - Country:US
Practice Address - Phone:660-547-3915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022040685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily