Provider Demographics
NPI:1669032983
Name:ARMOLD, LORI KAYE (FNP-C)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:KAYE
Last Name:ARMOLD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1542 S BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-2297
Mailing Address - Country:US
Mailing Address - Phone:765-301-7449
Mailing Address - Fax:
Practice Address - Street 1:209 E PAT RADY WAY
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:IN
Practice Address - Zip Code:46105
Practice Address - Country:US
Practice Address - Phone:765-301-7679
Practice Address - Fax:765-301-7677
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009120A363LF0000X
INF06191280363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily