Provider Demographics
NPI:1902380462
Name:FELDMAN, ARIELLE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 N MILITARY TRL APT 2307
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3804
Mailing Address - Country:US
Mailing Address - Phone:616-889-3400
Mailing Address - Fax:
Practice Address - Street 1:5545 N MILITARY TRL APT 2307
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-3804
Practice Address - Country:US
Practice Address - Phone:616-889-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9486138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily