Provider Demographics
NPI:1215154919
Name:ARREOLA, MARISA PARONG (RN)
Entity type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:PARONG
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19019 114TH CT SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-7169
Mailing Address - Country:US
Mailing Address - Phone:206-731-5825
Mailing Address - Fax:206-731-8527
Practice Address - Street 1:325 9TH AVE # 359860
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-731-5825
Practice Address - Fax:206-731-8527
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00068539163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00068539OtherREGISTERED NURSE LICENSE