Individual
SIMONA E ARNAUTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY STE 175, RICHARDSON, TX 75082-3551
(214) 635-5701
(844) 289-7691
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY STE 175, RICHARDSON, TX 75082-3551
(214) 635-5701
(844) 289-7691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1073234
TX
363LA2100X
Acute Care Nurse Practitioner
1073234
TX
363LG0600X
Gerontology Nurse Practitioner
1073234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2C8885
MEDICARE- DALLAS COUNTY
TX
01
—
2C8886
MEDICARE- COLLIN COUNTY
TX
Enumeration date
04/14/2022
Last updated
05/19/2023
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