Healthcare Provider Details

I. General information

NPI: 1023931029
Provider Name (Legal Business Name): ARIEL LEWIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIEL EREMINE

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06106-3300
US

IV. Provider business mailing address

24 PARK PL APT 24D
HARTFORD CT
06106-5030
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-8015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number181159
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: