Provider Demographics
NPI:1891232310
Name:ARENELLA, PATRICIA MARIE (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:ARENELLA
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 1:2072 ELKINS POINT DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-7800
Mailing Address - Country:US
Mailing Address - Phone:407-242-5788
Mailing Address - Fax:
Practice Address - Street 1:2072 ELKINS POINT DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-7800
Practice Address - Country:US
Practice Address - Phone:407-242-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9437974163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse