Provider Demographics
NPI:1912767237
Name:MARINELLI, ARIANA (LAC)
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:
Last Name:MARINELLI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:CHIMACUM
Mailing Address - State:WA
Mailing Address - Zip Code:98325-0344
Mailing Address - Country:US
Mailing Address - Phone:360-301-4542
Mailing Address - Fax:
Practice Address - Street 1:629 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6507
Practice Address - Country:US
Practice Address - Phone:360-301-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61033637171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist