Provider Demographics
NPI:1801481585
Name:DIXON, ARSHELL
Entity type:Individual
Prefix:
First Name:ARSHELL
Middle Name:
Last Name:DIXON
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 1:1618 BONWOOD RD APT Q11
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-4696
Mailing Address - Country:US
Mailing Address - Phone:267-592-9748
Mailing Address - Fax:
Practice Address - Street 1:1618 BONWOOD RD APT Q11
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4696
Practice Address - Country:US
Practice Address - Phone:267-592-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0067162163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEL1-0067162OtherDELAWARE BOARD OF NURSING