Provider Demographics
NPI:1538347166
Name:ARNOLD, ELIZABETH M (RNC NP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RNC NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:300 MEDICAL PLAZA
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367
Mailing Address - Country:US
Mailing Address - Phone:636-561-8088
Mailing Address - Fax:636-561-1405
Practice Address - Street 1:300 MEDICAL PLAZA
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367
Practice Address - Country:US
Practice Address - Phone:636-561-8088
Practice Address - Fax:636-561-1405
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology