Provider Demographics
NPI:1235706573
Name:NIEVES-ECHEANDIA, MARIELIS ARLENE (DC)
Entity Type:Individual
Prefix:MISS
First Name:MARIELIS
Middle Name:ARLENE
Last Name:NIEVES-ECHEANDIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 MERRIMON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2465
Mailing Address - Country:US
Mailing Address - Phone:828-505-1584
Mailing Address - Fax:
Practice Address - Street 1:959 MERRIMON AVE STE 201
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2465
Practice Address - Country:US
Practice Address - Phone:828-505-1584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5345OtherMEDICAL LICENSE