Healthcare Provider Details
I. General information
NPI: 1629889324
Provider Name (Legal Business Name): ARIANA ISABEL HURTADO-DAY SPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4040 N. FAIRFAX DR SUITE 200
ARLINGTON VA
22203
US
IV. Provider business mailing address
18913 HIGHSTREAM DR
GERMANTOWN MD
20874-6168
US
V. Phone/Fax
- Phone: 240-286-0362
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: