Provider Demographics
NPI:1821268129
Name:ARNOLD, TERESA LEA (MOBILE PHLIBOTOMY)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:LEA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MOBILE PHLIBOTOMY
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:LEA
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3222 WINCHESTER HWY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37342-3737
Mailing Address - Country:US
Mailing Address - Phone:931-315-9614
Mailing Address - Fax:931-233-9971
Practice Address - Street 1:3222 WINCHESTER HWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TN
Practice Address - Zip Code:37342-3737
Practice Address - Country:US
Practice Address - Phone:931-315-9614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5813376K00000X
TN31327376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide