Healthcare Provider Details

I. General information

NPI: 1861314270
Provider Name (Legal Business Name): ARIELLE LYN HOLT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIELLE LYN EBERTING

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 POWERS BLVD
PARMA OH
44129-5437
US

IV. Provider business mailing address

7007 POWERS BLVD
PARMA OH
44129-5437
US

V. Phone/Fax

Practice location:
  • Phone: 440-743-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010445RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: