Healthcare Provider Details

I. General information

NPI: 1447173752
Provider Name (Legal Business Name): ARIANA MICHELLE BARRERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 N INDIAN CANYON DR STE A
PALM SPRINGS CA
92262-4880
US

IV. Provider business mailing address

931 COTTONWOOD RD
BANNING CA
92220-4305
US

V. Phone/Fax

Practice location:
  • Phone: 760-601-5062
  • Fax:
Mailing address:
  • Phone: 951-524-3841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number761686
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: