Provider Demographics
NPI:1932347226
Name:ARNOLD, DAVID R (RN)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SUNDEW DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-2043
Mailing Address - Country:US
Mailing Address - Phone:856-308-5855
Mailing Address - Fax:
Practice Address - Street 1:1200 JUMPING BROOK RD
Practice Address - Street 2:BUILDING 5, SUITE D
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2634
Practice Address - Country:US
Practice Address - Phone:732-481-8461
Practice Address - Fax:732-643-4337
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13690300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse