Healthcare Provider Details

I. General information

NPI: 1578259271
Provider Name (Legal Business Name): ARIANA THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 W CAMELBACK RD STE 10
PHOENIX AZ
85013-2291
US

IV. Provider business mailing address

702 W CAMELBACK RD STE 10
PHOENIX AZ
85013-2291
US

V. Phone/Fax

Practice location:
  • Phone: 480-808-9215
  • Fax: 888-464-1137
Mailing address:
  • Phone: 480-808-9215
  • Fax: 888-464-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number80608
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: