Provider Demographics
NPI:1144086570
Name:ARNETT, ANDREA (DC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 SW NAGLE PL
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3157
Mailing Address - Country:US
Mailing Address - Phone:920-284-1615
Mailing Address - Fax:
Practice Address - Street 1:2506 ACORN ST STE DC
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-4750
Practice Address - Country:US
Practice Address - Phone:772-905-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor