Provider Demographics
NPI:1881029825
Name:ARNOLD, MARCIA SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:SUE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MARCIA
Other - Middle Name:SUE
Other - Last Name:LUDWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:248 BALL FARM RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-6122
Mailing Address - Country:US
Mailing Address - Phone:919-210-1344
Mailing Address - Fax:
Practice Address - Street 1:248 BALL FARM RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NC
Practice Address - Zip Code:28570-6122
Practice Address - Country:US
Practice Address - Phone:919-210-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC181450163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse