1447563267 NPI number — MS. LISA MARGUERITE ARNOLD CNM

Table of content: MS. LISA MARGUERITE ARNOLD CNM (NPI 1447563267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447563267 NPI number — MS. LISA MARGUERITE ARNOLD CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARNOLD
Provider First Name:
LISA
Provider Middle Name:
MARGUERITE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447563267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12303 NE 130TH LN
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
KIRKLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98034-3099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-899-4455
Provider Business Mailing Address Fax Number:
425-899-4434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12303 NE 130TH LN
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98034-3099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-899-4455
Provider Business Practice Location Address Fax Number:
425-899-4434
Provider Enumeration Date:
07/21/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  AP60178147 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)