Provider Demographics
NPI:1124533179
Name:DOULIN, ARIELLE (RN)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:DOULIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 QUASSAICK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6637
Mailing Address - Country:US
Mailing Address - Phone:845-591-4525
Mailing Address - Fax:
Practice Address - Street 1:146 QUASSAICK AVE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6637
Practice Address - Country:US
Practice Address - Phone:845-591-4525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY740819163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice