Provider Demographics
NPI:1710074331
Name:ARREDONDO, FIORELLA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:FIORELLA
Middle Name:ELIZABETH
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 WHALEYS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4831
Mailing Address - Country:US
Mailing Address - Phone:770-603-3218
Mailing Address - Fax:
Practice Address - Street 1:80 PEACHTREE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3156
Practice Address - Country:US
Practice Address - Phone:828-277-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06076363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical