Provider Demographics
NPI:1366698623
Name:ARNOLD, MONIQUE NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:NICOLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 W. BLACKSILL DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1417
Mailing Address - Country:US
Mailing Address - Phone:520-235-4824
Mailing Address - Fax:
Practice Address - Street 1:3411 W BLACKSILL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-1417
Practice Address - Country:US
Practice Address - Phone:520-235-4824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN076811163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management