Provider Demographics
NPI:1134458946
Name:ARNOLD, FELISHA ANN (STNA)
Entity Type:Individual
Prefix:
First Name:FELISHA
Middle Name:ANN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3571 GRIDLEY RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5046
Mailing Address - Country:US
Mailing Address - Phone:216-491-0991
Mailing Address - Fax:216-491-8943
Practice Address - Street 1:3571 GRIDLEY RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5046
Practice Address - Country:US
Practice Address - Phone:216-491-0991
Practice Address - Fax:216-491-8943
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401008241109376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide