Provider Demographics
NPI:1851500219
Name:WILCOX, ARIEL E (RN)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:E
Last Name:WILCOX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:426 FOREST AVENUE
Mailing Address - Street 2:ACCESS WELLNESS
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-5513
Mailing Address - Country:US
Mailing Address - Phone:207-553-7077
Mailing Address - Fax:
Practice Address - Street 1:426 FOREST AVENUE
Practice Address - Street 2:ACCESS WELLNESS
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5513
Practice Address - Country:US
Practice Address - Phone:207-553-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME025932163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse