Provider Demographics
NPI:1235771601
Name:ARNOLD, MICHELE NICOLE
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:NICOLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 NICHOLS AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1052
Mailing Address - Country:US
Mailing Address - Phone:440-654-8093
Mailing Address - Fax:
Practice Address - Street 1:1950 NICHOLS AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1052
Practice Address - Country:US
Practice Address - Phone:440-654-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH375387450296376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide