Provider Demographics
NPI:1932616414
Name:ARIOTO, COREEN R (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:COREEN
Middle Name:R
Last Name:ARIOTO
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:COREEN
Other - Middle Name:R
Other - Last Name:MCCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6081 N 1ST ST
Mailing Address - Street 2:STE 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5466
Mailing Address - Country:US
Mailing Address - Phone:559-908-4594
Mailing Address - Fax:
Practice Address - Street 1:6081 N 1ST ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5466
Practice Address - Country:US
Practice Address - Phone:559-436-5265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2018-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95007875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily