Provider Demographics
NPI:1285621086
Name:DUVAL, ARLYN RUTH (RN MSN PHN FNP)
Entity type:Individual
Prefix:MS
First Name:ARLYN
Middle Name:RUTH
Last Name:DUVAL
Suffix:
Gender:F
Credentials:RN MSN PHN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92244-0271
Mailing Address - Country:US
Mailing Address - Phone:760-562-3341
Mailing Address - Fax:760-337-8973
Practice Address - Street 1:1745 S IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4243
Practice Address - Country:US
Practice Address - Phone:760-482-9100
Practice Address - Fax:760-337-8973
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily