Provider Demographics
NPI:1376762575
Name:ARNP SERVICES LLC
Entity Type:Organization
Organization Name:ARNP SERVICES LLC
Other - Org Name:ARNP SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCUE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:239-292-3871
Mailing Address - Street 1:13300 S CLEVELAND AVE
Mailing Address - Street 2:56 206
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3886
Mailing Address - Country:US
Mailing Address - Phone:239-292-3871
Mailing Address - Fax:239-482-7253
Practice Address - Street 1:13300 S CLEVELAND AVE
Practice Address - Street 2:56 206
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3886
Practice Address - Country:US
Practice Address - Phone:239-292-3871
Practice Address - Fax:239-482-7253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9205590363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7638Medicare ID - Type UnspecifiedMEDICARE BILLING ID