Provider Demographics
NPI:1326311754
Name:ERLAND, ARLEEN MAE
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:MAE
Last Name:ERLAND
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 1:301 IBERIAN WAY APT 244
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1278
Mailing Address - Country:US
Mailing Address - Phone:720-404-2181
Mailing Address - Fax:
Practice Address - Street 1:301 IBERIAN WAY APT 244
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1278
Practice Address - Country:US
Practice Address - Phone:720-404-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ04K2Medicaid