Provider Demographics
NPI:1952852337
Name:ARNOLD, B. ELAINE (LM CPM)
Entity Type:Individual
Prefix:MRS
First Name:B.
Middle Name:ELAINE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LM CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 RENTON AVE S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-6016
Mailing Address - Country:US
Mailing Address - Phone:425-344-7703
Mailing Address - Fax:425-277-9272
Practice Address - Street 1:320 RENTON AVE S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-6016
Practice Address - Country:US
Practice Address - Phone:425-344-7703
Practice Address - Fax:425-277-9272
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60691309176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife