Healthcare Provider Details

I. General information

NPI: 1326595406
Provider Name (Legal Business Name): ARIEL CAUSEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HUGHES STE 100
IRVINE CA
92618-2060
US

IV. Provider business mailing address

6 HUGHES STE 100
IRVINE CA
92618-2060
US

V. Phone/Fax

Practice location:
  • Phone: 949-680-1880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95004802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: