Provider Demographics
NPI:1770019754
Name:ARNOLD, ADRIENNE DORE' (PNP-AC)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:DORE'
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 DESOTO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3328
Mailing Address - Country:US
Mailing Address - Phone:225-281-5188
Mailing Address - Fax:
Practice Address - Street 1:2701 DESOTO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3328
Practice Address - Country:US
Practice Address - Phone:225-281-5188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09188363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care