Provider Demographics
NPI:1720616477
Name:ARNO, KATIE ELIZABETH (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:ELIZABETH
Last Name:ARNO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ELIZABETH
Other - Last Name:BALSAMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KATIE BALSAMO
Mailing Address - Street 1:5879 TYLER CT
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-7501
Mailing Address - Country:US
Mailing Address - Phone:908-477-1964
Mailing Address - Fax:
Practice Address - Street 1:3840 PACKARD ST STE 260
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2283
Practice Address - Country:US
Practice Address - Phone:734-973-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18109500163W00000X
MI4704361496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse