NPI 1407813447 · live from the CMS NPI Registry
Mary Norine Arnold, P.A.
Physician Assistant, Medical in Evergreen, CO. National Provider Identifier 1407813447, active.
NPI record
| NPI | 1407813447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 32214 Ellingwood Trl Ste 210, Evergreen, CO 80439 |
| Practice phone | 303-679-2020 |
| Mailing address | Po Box 800022, Kansas City, MO 64180 |
| Enumerated | April 26, 2006 |
| Last updated | January 3, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA.0000578 (CO) |
| Physician Assistant, Medical primary | 363AM0700X | PA.0000578 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.