Healthcare Provider Details

I. General information

NPI: 1285547992
Provider Name (Legal Business Name): ARIANNA BEERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12158 CENTRAL AVE
MITCHELLVILLE MD
20721-1932
US

IV. Provider business mailing address

345 VOLLEY RD
ARNOLD MD
21012-1133
US

V. Phone/Fax

Practice location:
  • Phone: 301-390-3076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: