Individual
MRS. KATELIN NICOLE ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
Mailing address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66135
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598393050
—
ID
01
—
66135
BOARD OF NURSING- CERTIFIED NP/APRN
ID
01
—
AP145730
BOARD OF NURSING
TX
Enumeration date
03/31/2020
Last updated
07/07/2023
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