Nancy Arnold

Individual provider Active NPI Attendant Care Provider · Glendora, CA

NPI 1689217762 · NPPES record last updated Oct 22, 2019

Key facts

NPI
1689217762
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1526 S Stephora Ave
Glendora, CA 91740-5724
Phone
(909) 568-6082
NPI assigned
Oct 22, 2019
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

1526 S Stephora Ave
Glendora, CA 91740-5724

Mailing address

1526 S Stephora Ave
Glendora, CA 91740-5724

Other providers in Glendora, CA

All providers in Glendora, CA · Attendant Care Provider in California

Sources for this page

Verify at the official NPI Registry.