Provider Demographics
NPI:1942085089
Name:BARNETT-GEARHART, ARIEL LEA (RN)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:LEA
Last Name:BARNETT-GEARHART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:LEA
Other - Last Name:GOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11327 MANORGATE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6976
Mailing Address - Country:US
Mailing Address - Phone:480-296-3079
Mailing Address - Fax:
Practice Address - Street 1:1305 N MARTIN AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0001
Practice Address - Country:US
Practice Address - Phone:480-296-3079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95146971163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse