Healthcare Provider Details

I. General information

NPI: 1477884591
Provider Name (Legal Business Name): ARIANE D BARLOCHER PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 LOMBARDI CT # B
SANTA ROSA CA
95407-6793
US

IV. Provider business mailing address

751 LOMBARDI CT # B
SANTA ROSA CA
95407-6793
US

V. Phone/Fax

Practice location:
  • Phone: 707-547-2220
  • Fax: 707-547-2229
Mailing address:
  • Phone: 707-547-2220
  • Fax: 707-547-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP7879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: