Provider Demographics
NPI:1932164415
Name:ARNOLD, GARRIA H (MSN CFNP)
Entity Type:Individual
Prefix:MRS
First Name:GARRIA
Middle Name:H
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MSN CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 W CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858
Mailing Address - Country:US
Mailing Address - Phone:989-772-1609
Mailing Address - Fax:989-953-4949
Practice Address - Street 1:2480 W CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858
Practice Address - Country:US
Practice Address - Phone:989-772-1609
Practice Address - Fax:989-953-4949
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704191163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1487796504Medicaid
MI1174698336Medicaid
MI1487796504Medicaid
MI1174698336Medicaid