Provider Demographics
NPI:1992403240
Name:FORD, ARNETTA COLLETTE
Entity type:Individual
Prefix:MS
First Name:ARNETTA
Middle Name:COLLETTE
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3974 RAVENSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-7925
Mailing Address - Country:US
Mailing Address - Phone:734-773-6852
Mailing Address - Fax:
Practice Address - Street 1:3974 RAVENSFIELD DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-7925
Practice Address - Country:US
Practice Address - Phone:734-773-6852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula