Provider Demographics
NPI:1811590888
Name:ARTHUR, CHINARA
Entity Type:Individual
Prefix:
First Name:CHINARA
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4046 MOULTON DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:810-875-2944
Mailing Address - Fax:
Practice Address - Street 1:4046 MOULTON DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-5539
Practice Address - Country:US
Practice Address - Phone:810-875-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704283346163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrologyGroup - Single Specialty