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Individual
MARY BETH ARNOLD
Active
Individual
MARY BETH ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558347
ANTHEM INDIANAPOLIS
IN
01
—
000000591864
ANTHEM NASHVILLE
IL
05
—
200994840
—
IN
01
—
677700
GROUP MEDICARE
IN
01
—
P01032831
RR MEDICARE PTAN
IN
01
—
P01214705
RR MEDICARE PTAN
IN
Enumeration date
09/03/2006
Last updated
06/11/2021
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