Provider Demographics
NPI:1649724501
Name:NEWELL-SHELTON, ARIANE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:NEWELL-SHELTON
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:ARIANE
Other - Middle Name:
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DACM, LAC
Mailing Address - Street 1:300A UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1032
Mailing Address - Country:US
Mailing Address - Phone:512-809-2301
Mailing Address - Fax:
Practice Address - Street 1:300A UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1032
Practice Address - Country:US
Practice Address - Phone:512-809-2301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN84000186A171100000X
TXAC01843171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist