Provider Demographics
NPI:1538500863
Name:DANIEL, ARIEL LEIGH (FNP)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:LEIGH
Last Name:DANIEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 SISKIYOU BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2406
Mailing Address - Country:US
Mailing Address - Phone:541-344-2632
Mailing Address - Fax:541-482-7427
Practice Address - Street 1:1532 SISKIYOU BLVD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2406
Practice Address - Country:US
Practice Address - Phone:541-344-2632
Practice Address - Fax:541-482-7427
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201390665NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR227698Medicaid