Thomas Micheal Arnold Jr., RN

Individual provider Active NPI Registered Nurse · Indianapolis, IN

NPI 1629137765 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629137765
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
28161252A (IN)
Practice address
6256 Red Haw LN
Indianapolis, IN 46236-2935
Phone
(317) 523-3879
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28161252AINMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28161252A IN Yes

Addresses

Primary practice location

6256 Red Haw LN
Indianapolis, IN 46236-2935

Mailing address

6256 Red Haw LN
Indianapolis, IN 46236-2935
Phone (317) 523-3879

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.