Provider Demographics
NPI:1013970300
Name:AVANT, ARIEL DIANE (RNCNNP)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:DIANE
Last Name:AVANT
Suffix:
Gender:F
Credentials:RNCNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 VININGS LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6422
Mailing Address - Country:US
Mailing Address - Phone:423-778-6438
Mailing Address - Fax:423-778-8210
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:BOX 159
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2103
Practice Address - Country:US
Practice Address - Phone:423-778-6438
Practice Address - Fax:423-778-8210
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005893363LN0005X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care