Healthcare Provider Details

I. General information

NPI: 1710841820
Provider Name (Legal Business Name): AARICA DANIELE CLEVELAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR # 84132
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

580 S 600 E
RIVER HEIGHTS UT
84321-5613
US

V. Phone/Fax

Practice location:
  • Phone: 435-238-0057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number10362591-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: