Provider Demographics
NPI:1730847104
Name:DAVIS, ARLINDA (CST, BA, (SHE/HER))
Entity type:Individual
Prefix:MS
First Name:ARLINDA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CST, BA, (SHE/HER)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 S CATHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-7338
Mailing Address - Country:US
Mailing Address - Phone:463-212-2754
Mailing Address - Fax:
Practice Address - Street 1:4327 DARBY ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63120-1417
Practice Address - Country:US
Practice Address - Phone:463-212-2754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No372500000XNursing Service Related ProvidersChore Provider