Basic Information
| Provider Information | |||||||||
| NPI: | 1518333731 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCARTHUR | ||||||||
| FirstName: | MINDY | ||||||||
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| Credential: | R.N | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 N ERIE ST | ||||||||
| Address2: | |||||||||
| City: | MAYVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 147571095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7167534104 | ||||||||
| FaxNumber: | 7167534320 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 E 3RD ST | ||||||||
| Address2: | |||||||||
| City: | JAMESTOWN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 147015433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166618331 | ||||||||
| FaxNumber: | 7166618364 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2015 | ||||||||
| LastUpdateDate: | 08/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 702216-1 | NY | N | Nursing Service Providers | Registered Nurse | 163WP0808X | 702216-1 | NY | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.