Basic Information
Provider Information
NPI: 1740537125
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNOW
FirstName: DEBORAH
MiddleName: JEAN
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 W. 2ND ST.
Address2: #235D
City: RENO
State: NV
PostalCode: 89503
CountryCode: US
TelephoneNumber: 7756828175
FaxNumber: 7753272006
Practice Location
Address1: 5190 NEIL ROAD
Address2: 215
City: RENO
State: NV
PostalCode: 89502
CountryCode: UM
TelephoneNumber: 7757844917
FaxNumber: 7757841428
Other Information
ProviderEnumerationDate: 08/05/2012
LastUpdateDate: 11/28/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN001612NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home