Individual
MRS. ANGELA MARIE ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002121
IL
363A00000X
Physician Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137782
HAMP
IL
01
—
3932056
BCBS
IL
01
—
613533
HEALTHLINK
IL
01
—
7210895
AETNA
IL
Enumeration date
08/23/2006
Last updated
02/27/2014
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