Provider Demographics
NPI:1730339839
Name:ARVAI, MICHELLE C (CNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:C
Last Name:ARVAI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 POLARIS PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4042
Mailing Address - Country:US
Mailing Address - Phone:614-797-0600
Mailing Address - Fax:614-259-0610
Practice Address - Street 1:1120 POLARIS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4042
Practice Address - Country:US
Practice Address - Phone:614-797-0600
Practice Address - Fax:614-259-0610
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.10273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2887256Medicaid
OH2887256Medicaid