Provider Demographics
NPI:1851344022
Name:ARNOLD, CHERYL MARIE (OGNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E CUMMINS ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-2070
Mailing Address - Country:US
Mailing Address - Phone:517-424-3200
Mailing Address - Fax:517-423-4870
Practice Address - Street 1:501 E CUMMINS ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-2070
Practice Address - Country:US
Practice Address - Phone:517-424-3200
Practice Address - Fax:517-423-4870
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141206163W00000X
NC800113363L00000X
MI4704087701363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5008707380OtherBCBSMI
OH00000573095OtherANTHEM
MIM35150056Medicare PIN
P41910Medicare UPIN