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Individual

NORA K ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Mailing address
800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041250308
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209001372
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031297
HEALTH ALLIANCE NUMBERS
IL
01
041250308
IL LICENSE #
IL
01
0841504038
BCBS OF ILLINOIS
IL
01
104409
HEALTHLINK GROUP #
IL
01
209-001372
IL APN LICENSE #
IL
01
44690
AANA #
IL
01
L031806
CHAMPUS/TRICARE
IL
Enumeration date
10/13/2005
Last updated
10/11/2013
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