Provider Demographics
NPI:1720503675
Name:ARNER, ERICKA DIANE (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:DIANE
Last Name:ARNER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 RINEHART RD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-9193
Mailing Address - Country:US
Mailing Address - Phone:417-334-4544
Mailing Address - Fax:417-335-5727
Practice Address - Street 1:320 RINEHART RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9193
Practice Address - Country:US
Practice Address - Phone:417-334-4544
Practice Address - Fax:417-335-5727
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016031948133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered