Provider Demographics
NPI:1053401323
Name:ARNDT, MARIA LOURDES (NP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LOURDES
Last Name:ARNDT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LOURDES
Other - Last Name:ABIHAY-ARNDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:26721 W MOHAWK LN
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-9265
Mailing Address - Country:US
Mailing Address - Phone:928-533-9698
Mailing Address - Fax:
Practice Address - Street 1:26721 W MOHAWK LN
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-9265
Practice Address - Country:US
Practice Address - Phone:928-533-9698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN130512/AP2058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily