Provider Demographics
NPI:1386441319
Name:ARNOLD, DENNIS WAYNE
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:WAYNE
Last Name:ARNOLD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 PELTON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3848
Mailing Address - Country:US
Mailing Address - Phone:816-914-0806
Mailing Address - Fax:
Practice Address - Street 1:1809 PELTON AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3848
Practice Address - Country:US
Practice Address - Phone:816-914-0806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE155697376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide