Provider Demographics
NPI:1770764615
Name:ARNOLD, MARILYN A (RN,BSN,IBCLC,RLC)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:A
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN,BSN,IBCLC,RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 BELFORD AVE
Mailing Address - Street 2:
Mailing Address - City:NICHOLS HILLS
Mailing Address - State:OK
Mailing Address - Zip Code:73116-6205
Mailing Address - Country:US
Mailing Address - Phone:405-607-8882
Mailing Address - Fax:405-271-6454
Practice Address - Street 1:825 NE 10TH ST # 3300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-9494
Practice Address - Fax:405-271-3727
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist