Provider Demographics
NPI:1407193485
Name:ARNOLD, HEIDI (PA-C, MMS)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PA-C, MMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W. GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59717
Mailing Address - Country:US
Mailing Address - Phone:406-994-2311
Mailing Address - Fax:406-994-2504
Practice Address - Street 1:950 W. GRANT STREET
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717
Practice Address - Country:US
Practice Address - Phone:406-994-2311
Practice Address - Fax:406-994-2504
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT20541363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant