Provider Demographics
NPI:1487435871
Name:VENTRELLA, ARIANA (ND)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:VENTRELLA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S ASH AVE APT 9035
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6983
Mailing Address - Country:US
Mailing Address - Phone:480-702-8107
Mailing Address - Fax:
Practice Address - Street 1:4440 N 36TH ST STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3589
Practice Address - Country:US
Practice Address - Phone:480-588-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23-1821175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath