Basic Information
Provider Information
NPI: 1265892186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNOLD
FirstName: MAEGHAN
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: DNP, APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17200 CHENAL PKWY STE 300
Address2: #163
City: LITTLE ROCK
State: AR
PostalCode: 722235965
CountryCode: US
TelephoneNumber: 5016122116
FaxNumber:  
Practice Location
Address1: 9601 BAPTIST HEALTH DR
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722056321
CountryCode: US
TelephoneNumber: 5012022000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/04/2016
LastUpdateDate: 06/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XA004688ARY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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