Provider Demographics
NPI:1619229366
Name:ARTHUR, RICHARD WILFRED (APRN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:WILFRED
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0004
Mailing Address - Country:US
Mailing Address - Phone:301-295-8977
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-2417
Practice Address - Country:US
Practice Address - Phone:301-295-8977
Practice Address - Fax:301-400-0858
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005163363LF0000X
MDR232067363LF0000X
NYF337563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF337563OtherNYS LICENSE
MDR232067OtherMDS LICENSE