Provider Demographics
NPI:1700666328
Name:ARROW MEDICAL WEIGHT MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ARROW MEDICAL WEIGHT MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN-C
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GLIDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-794-1341
Mailing Address - Street 1:3120 31ST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-1761
Mailing Address - Country:US
Mailing Address - Phone:620-794-1341
Mailing Address - Fax:
Practice Address - Street 1:3050 33RD AVE STE 11
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1479
Practice Address - Country:US
Practice Address - Phone:402-543-0410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty