Provider Demographics
NPI:1003317215
Name:BARCELO, ARIANA (PA-C)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:BARCELO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9649 E BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-8037
Mailing Address - Country:US
Mailing Address - Phone:480-258-0153
Mailing Address - Fax:
Practice Address - Street 1:2550 N THUNDERBIRD CIR STE 139
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1222
Practice Address - Country:US
Practice Address - Phone:480-353-2286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant