# MARY BETH ARNOLD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518069152
- **Gender:** F
- **Credential:** RN, MSN, NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71000099A | IN | Yes |

## Other

- **Enumeration date:** 09/03/2006
- **Last updated:** 06/11/2021

## 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 |
