Provider Demographics
NPI:1952430779
Name:ARLEN, FERN M (MD)
Entity type:Individual
Prefix:DR
First Name:FERN
Middle Name:M
Last Name:ARLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9746 N 90TH PL
Mailing Address - Street 2:#203
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5083
Mailing Address - Country:US
Mailing Address - Phone:480-614-0707
Mailing Address - Fax:480-614-0353
Practice Address - Street 1:9746 N 90TH PL
Practice Address - Street 2:#203
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5083
Practice Address - Country:US
Practice Address - Phone:480-614-0707
Practice Address - Fax:480-614-0353
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ227712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ05-00068OtherUNITEDHEALTHCARE ID #
AZ4656768OtherAETNA ID #
AZ187999-01Medicaid
AZ1Z1554OtherHEALTHNET ID #
AZ4678400OtherCIGNA ID #
AZAZ0868700OtherBCBS ID #
AZ63006Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #
AZ4656768OtherAETNA ID #
AZ187999-01Medicaid