Individual
MARENA A. ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7910 W JEFFERSON BLVD, SUITE 120, FORT WAYNE, IN 46804-4159
(260) 435-7612
(260) 435-7672
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: BARB COPELAND, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71005456A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201299250
—
IN
Enumeration date
01/29/2015
Last updated
09/11/2020
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