Provider Demographics
NPI:1629270947
Name:ARNOLD, ERNA H (CCM)
Entity Type:Individual
Prefix:
First Name:ERNA
Middle Name:H
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:CCM
Other - Prefix:
Other - First Name:ERNA
Other - Middle Name:H
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 N MACDONALD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-7339
Mailing Address - Country:US
Mailing Address - Phone:480-969-1197
Mailing Address - Fax:480-835-8809
Practice Address - Street 1:1 N MACDONALD
Practice Address - Street 2:SUITE 13
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7339
Practice Address - Country:US
Practice Address - Phone:480-969-1197
Practice Address - Fax:480-835-8809
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator