Provider Demographics
NPI:1720724487
Name:ARROYO, MARTHA ELENA
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:ELENA
Last Name:ARROYO
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:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:CLARKSON
Mailing Address - State:NE
Mailing Address - Zip Code:68629-0172
Mailing Address - Country:US
Mailing Address - Phone:402-594-3367
Mailing Address - Fax:
Practice Address - Street 1:200 W 10TH ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-2016
Practice Address - Country:US
Practice Address - Phone:402-352-5514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant