Healthcare Provider Details

I. General information

NPI: 1417625930
Provider Name (Legal Business Name): ARIELLE ADES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 FOLSOM ST STE 100
BOULDER CO
80302-5712
US

IV. Provider business mailing address

1602 GRANT CT
LONGMONT CO
80501-2564
US

V. Phone/Fax

Practice location:
  • Phone: 720-741-8051
  • Fax:
Mailing address:
  • Phone: 970-531-8744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2319819
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF348435-01
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996814-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: