Individual provider · NPI-1

Ellen Tyesha Arnold, APRN, FNP-BC

Nurse Practitioner, Family · Park Ridge, IL

NPI number1043798036
StatusActive
Last updated in NPPESApr 19, 2022

Details

NPI
1043798036
Entity type
Individual (NPI-1)
Name
Mrs. Ellen Tyesha Arnold
Credential
APRN, FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 1, 2018
Certification date
Apr 19, 2022
Last updated
Apr 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.017824ILYes
163W00000X Registered Nurse041378473IL

Practice location

800 Devon Ave
Park Ridge, IL 60068-4760

Phone 800-323-8622

Mailing address

579 E Forest Ave
Des Plaines, IL 60018-1470

Phone 502-418-8482

Other practice locations

6150 N Broadway St
Chicago, IL 60660-2538

Phone 866-389-3272

153 1/2 N 19th Ave
Melrose Park, IL 60160

Phone 708-345-8960

153 1/2 N 19th Ave
Melrose Park, IL 60160

Phone 708-345-8960

9977 Woods Dr
Skokie, IL 60077

Phone 224-364-2273

3637 N Southport Ave
Chicago, IL 60613-3709

Phone 773-348-5282

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