Provider Demographics
NPI:1912438581
Name:CARVAJAL, ARIANA ANN (WHNP)
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:ANN
Last Name:CARVAJAL
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:
Other - Last Name:SACCOCCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-6401
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:1 BLACKSTONE STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903
Practice Address - Country:US
Practice Address - Phone:401-453-7520
Practice Address - Fax:401-453-7529
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4214828-1363LW0102X
MARN2305975363LW0102X
NYF421282-1363LX0001X
RIAPRN02380363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology