Provider Demographics
NPI:1699218883
Name:NIEVES, ARIEL (LPN)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 PAULDING ST # RR
Mailing Address - Street 2:UNITED STATES
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2746
Mailing Address - Country:US
Mailing Address - Phone:914-382-9634
Mailing Address - Fax:
Practice Address - Street 1:950 PAULDING ST # RR
Practice Address - Street 2:UNITED STATES
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2746
Practice Address - Country:US
Practice Address - Phone:914-382-9634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10-326900164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse