Provider Demographics
NPI:1376385799
Name:FISH, ARIAH (MS, RD, ISAK I)
Entity type:Individual
Prefix:
First Name:ARIAH
Middle Name:
Last Name:FISH
Suffix:
Gender:F
Credentials:MS, RD, ISAK I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 W HAPPY VALLEY RD UNIT 1061
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-0021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 W HAPPY VALLEY RD UNIT 1061
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-0021
Practice Address - Country:US
Practice Address - Phone:610-220-2645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics