Provider Demographics
NPI:1437158490
Name:ARLIEN, LOUISE M (CNP)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:M
Last Name:ARLIEN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1007
Mailing Address - Street 2:
Mailing Address - City:HOWARD LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55349-1007
Mailing Address - Country:US
Mailing Address - Phone:952-442-3190
Mailing Address - Fax:952-442-3185
Practice Address - Street 1:900 6TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD LAKE
Practice Address - State:MN
Practice Address - Zip Code:55349-5647
Practice Address - Country:US
Practice Address - Phone:952-442-3190
Practice Address - Fax:952-442-3185
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR0921574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN690945100Medicaid
MNR0921574OtherRN LICENSE
MN690945100Medicaid