Provider Demographics
NPI:1851019103
Name:ARNOLD, JOSEPHINE SUZANNE DEAHL (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:SUZANNE DEAHL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22123 PELICAN CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7829
Mailing Address - Country:US
Mailing Address - Phone:210-213-2831
Mailing Address - Fax:
Practice Address - Street 1:1781 E AMMANN RD
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2034
Practice Address - Country:US
Practice Address - Phone:830-251-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX952195163W00000X
TX1088800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse