Provider Demographics
NPI:1134468721
Name:ARNETT, KARMEN PAIGE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KARMEN
Middle Name:PAIGE
Last Name:ARNETT
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 1:324 WILMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1890
Mailing Address - Country:US
Mailing Address - Phone:937-256-4490
Mailing Address - Fax:937-256-8145
Practice Address - Street 1:324 WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1890
Practice Address - Country:US
Practice Address - Phone:937-256-4490
Practice Address - Fax:937-256-8145
Is Sole Proprietor?:No
Enumeration Date:2013-02-03
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.14260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0083000Medicaid
OHH189710Medicare PIN
OHH483700Medicare PIN
OHP01269435Medicare PIN