Provider Demographics
NPI:1952842874
Name:HUSBAND, ARVILLA (LVN)
Entity Type:Individual
Prefix:
First Name:ARVILLA
Middle Name:
Last Name:HUSBAND
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 STATFORD DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2148
Mailing Address - Country:US
Mailing Address - Phone:214-642-6216
Mailing Address - Fax:
Practice Address - Street 1:7305 STATFORD DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-2148
Practice Address - Country:US
Practice Address - Phone:214-642-6216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221210164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse