Provider Demographics
NPI:1689195737
Name:WARREN, ARIEL (RD, RDN)
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 FAIR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6797
Mailing Address - Country:US
Mailing Address - Phone:801-920-1453
Mailing Address - Fax:801-702-8143
Practice Address - Street 1:8970 COUNTY ROAD 512
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-8006
Practice Address - Country:US
Practice Address - Phone:801-920-1453
Practice Address - Fax:801-702-8143
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT86079020133V00000X
UT10434924-4901133V00000X
TXDT88349133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered