Provider Demographics
NPI:1922731629
Name:KINGSMAN, ARLYNNE J (RN)
Entity Type:Individual
Prefix:
First Name:ARLYNNE
Middle Name:J
Last Name:KINGSMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 RIVER REACH DR APT 538
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-6965
Mailing Address - Country:US
Mailing Address - Phone:609-305-3961
Mailing Address - Fax:
Practice Address - Street 1:2180 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-4808
Practice Address - Country:US
Practice Address - Phone:314-858-6962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9567865163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse