Provider Demographics
NPI:1457491219
Name:ARQUETTE, NANCY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:ARQUETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 STABLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9291
Mailing Address - Country:US
Mailing Address - Phone:419-262-3668
Mailing Address - Fax:419-475-2356
Practice Address - Street 1:6135 TRUST DR
Practice Address - Street 2:SUITE 114
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9358
Practice Address - Country:US
Practice Address - Phone:419-887-8727
Practice Address - Fax:419-491-0042
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP18078207V00000X
OH35090397207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP18078OtherUMP