Provider Demographics
NPI:1558910166
Name:SPAULDING, ARIELLE NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:NICOLE
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:NICOLE
Other - Last Name:SIMONDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:232 COUNTY ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:NORTH LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:12967-9542
Mailing Address - Country:US
Mailing Address - Phone:315-212-3795
Mailing Address - Fax:
Practice Address - Street 1:125 FINNEY BLVD
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1067
Practice Address - Country:US
Practice Address - Phone:518-483-8160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY750436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse