Provider Demographics
NPI:1669776761
Name:BINN, ARIELYA TAYLOR (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:ARIELYA
Middle Name:TAYLOR
Last Name:BINN
Suffix:
Gender:
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:ARIELYA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,NP
Mailing Address - Street 1:PO BOX 470408
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28247-0408
Mailing Address - Country:US
Mailing Address - Phone:704-375-0100
Mailing Address - Fax:704-887-6450
Practice Address - Street 1:1304 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7226
Practice Address - Country:US
Practice Address - Phone:864-833-6287
Practice Address - Fax:704-887-6450
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21386363LG0600X
NC239689163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse