Provider Demographics
NPI:1417507575
Name:ARNOLD, KATREENA
Entity Type:Individual
Prefix:MRS
First Name:KATREENA
Middle Name:
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 1:9318 SPRINGMOUNT TER
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9267
Mailing Address - Country:US
Mailing Address - Phone:804-658-5983
Mailing Address - Fax:
Practice Address - Street 1:9318 SPRINGMOUNT TER
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-9267
Practice Address - Country:US
Practice Address - Phone:804-658-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider