Provider Demographics
NPI:1598219206
Name:FLORENDO, ARTHUR
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:FLORENDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 E FORT LOWELL RD
Mailing Address - Street 2:APT. 3024
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1660
Mailing Address - Country:US
Mailing Address - Phone:520-912-2115
Mailing Address - Fax:
Practice Address - Street 1:3201 E FORT LOWELL RD
Practice Address - Street 2:APT. 3024
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1660
Practice Address - Country:US
Practice Address - Phone:520-912-2115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN131315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse