Provider Demographics
NPI:1528614344
Name:MERKEL, ARIANE LAUREN (LVN, RADT-1)
Entity type:Individual
Prefix:
First Name:ARIANE
Middle Name:LAUREN
Last Name:MERKEL
Suffix:
Gender:F
Credentials:LVN, RADT-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 KILSON DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-2954
Mailing Address - Country:US
Mailing Address - Phone:949-734-7432
Mailing Address - Fax:949-734-7433
Practice Address - Street 1:2201 KILSON DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-2954
Practice Address - Country:US
Practice Address - Phone:949-734-7432
Practice Address - Fax:949-734-7433
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2021-03-02
Deactivation Date:2021-01-06
Deactivation Code:
Reactivation Date:2021-03-02
Provider Licenses
StateLicense IDTaxonomies
CA698064164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty