Basic Information
Provider Information
NPI: 1821021734
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNOLD-HARRIS
FirstName: SANDRA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1241 N MAIN ST
Address2:  
City: HARRISONBURG
State: VA
PostalCode: 228024632
CountryCode: US
TelephoneNumber: 5404341941
FaxNumber: 5404340132
Practice Location
Address1: 1241 N MAIN ST
Address2:  
City: HARRISONBURG
State: VA
PostalCode: 22802
CountryCode: US
TelephoneNumber: 5404341941
FaxNumber: 5404340132
Other Information
ProviderEnumerationDate: 07/07/2006
LastUpdateDate: 08/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SP0809X0015000446VAN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsych/Mental Health, Adult
363LP0808X0024166677VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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