Provider Demographics
NPI:1770926511
Name:ARNOLD, DIANE PIKELIS (RN)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:PIKELIS
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COLUMBIA AVE
Mailing Address - Street 2:CHAPIN HIGH SCHOOL
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036
Mailing Address - Country:US
Mailing Address - Phone:803-575-5409
Mailing Address - Fax:
Practice Address - Street 1:300 COLUMBIA AVE
Practice Address - Street 2:CHAPIN HIGH SCHOOL
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036
Practice Address - Country:US
Practice Address - Phone:803-575-5409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC50182163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics