NPI 1114029758 · live from the CMS NPI Registry
Angelia Marie Arnold, RD, LD
Dietitian, Registered, Nutrition, Renal in Dothan, AL. National Provider Identifier 1114029758, active.
NPI record
| NPI | 1114029758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Renal 133VN1005X |
| Practice location | 1763 E Main St, Dothan, AL 36301 |
| Practice phone | 334-793-3319 |
| Mailing address | 426 Blake Dr, Ozark, AL 36360 |
| Enumerated | September 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Renal primary | 133VN1005X | 169ST (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.