Provider Demographics
NPI:1295245785
Name:DAHNERT, ARLANDA NANCY
Entity type:Individual
Prefix:
First Name:ARLANDA
Middle Name:NANCY
Last Name:DAHNERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 TRELLIS ST
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-4524
Mailing Address - Country:US
Mailing Address - Phone:612-298-1359
Mailing Address - Fax:
Practice Address - Street 1:933 TRELLIS ST
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-4524
Practice Address - Country:US
Practice Address - Phone:612-298-1359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR175516-3163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant