Doctor Name: | MR. THIERRY ARNOULT |
NPI Number: | 1114383403 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACNP |
License Number: | SP015726 |
Business Practice Address: | 175 E Chester Pike Ridley Park, PA - 190782212 |
Business Phone Number: | 6105956000 |
Business Fax Number: | |
Mailing Address: | 133 Congress Ave, SPRINGFIELD |
State: | PA |
Postal Code: | 190642507 |
Phone Number: | 6103168864 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2016 |
NPI Last Update Date: | 01/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | SP015726 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |