Provider Demographics
NPI:1922881036
Name:ARNOLD, AMY L (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529 MAR RUTH DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-7809
Mailing Address - Country:US
Mailing Address - Phone:607-343-6438
Mailing Address - Fax:765-807-3050
Practice Address - Street 1:2529 MAR RUTH DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-7809
Practice Address - Country:US
Practice Address - Phone:607-343-6438
Practice Address - Fax:765-807-3050
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No183700000XPharmacy Service ProvidersPharmacy Technician
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG