Individual
MRS. ELLEN TYESHA ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
800 DEVON AVE, PARK RIDGE, IL 60068-4760
(800) 323-8622
Mailing address
579 E FOREST AVE, DES PLAINES, IL 60018-1470
(502) 418-8482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041378473
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017824
IL
Other
Enumeration date
08/01/2018
Last updated
04/19/2022
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