Provider Demographics
NPI:1588206601
Name:REARICK, ARIEL LEIGH (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:LEIGH
Last Name:REARICK
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 S VIRGINIA ST STE F
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6029
Mailing Address - Country:US
Mailing Address - Phone:775-284-9216
Mailing Address - Fax:702-489-3600
Practice Address - Street 1:4001 S VIRGINIA ST STE F
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6029
Practice Address - Country:US
Practice Address - Phone:775-284-9216
Practice Address - Fax:702-489-3600
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV39381-DI-0133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered