Provider Demographics
NPI:1568921013
Name:OLIVARES, ARIELLE DANIELLE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:DANIELLE
Last Name:OLIVARES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11413 SUMMIT BAY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2558
Mailing Address - Country:US
Mailing Address - Phone:832-282-7953
Mailing Address - Fax:
Practice Address - Street 1:5600 S WILLOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4713
Practice Address - Country:US
Practice Address - Phone:713-723-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine