Provider Demographics
NPI:1295287407
Name:ARNOLD, CANDY SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:CANDY
Middle Name:SUE
Last Name:ARNOLD
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 1:104 1/2 NORTH MARIETTA STREET
Mailing Address - Street 2:
Mailing Address - City:ST. CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1255
Mailing Address - Country:US
Mailing Address - Phone:740-695-5441
Mailing Address - Fax:740-695-6747
Practice Address - Street 1:104 1/2 N MARIETTA ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1255
Practice Address - Country:US
Practice Address - Phone:740-695-5441
Practice Address - Fax:740-695-6747
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.320705251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.320705OtherOHIO STATE BOARD OF NURSING