Provider Demographics
NPI:1154535938
Name:ARNOLD, ELAINE E (ANP)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:E
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:397 COUNTRY WAY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2513
Mailing Address - Country:US
Mailing Address - Phone:781-545-7380
Mailing Address - Fax:
Practice Address - Street 1:120 BOYLSTON ST
Practice Address - Street 2:EMERSON COLLEGE CENTER FOR HEALTH AND WELLNESS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4611
Practice Address - Country:US
Practice Address - Phone:617-824-8666
Practice Address - Fax:617-824-7897
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA120296363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health