Healthcare Provider Details

I. General information

NPI: 1396372280
Provider Name (Legal Business Name): ARIELLE ROUNDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTERVILLE RD STE 101
WARWICK RI
02886-0200
US

IV. Provider business mailing address

300 CENTERVILLE RD # 101
WARWICK RI
02886-0200
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN53547
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN02419
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: