Provider Demographics
NPI:1528802964
Name:RIPLEY, ARIELLE DESIREE (CRNA)
Entity type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:DESIREE
Last Name:RIPLEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:ARIELLE
Other - Middle Name:D
Other - Last Name:SEARLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:92 W MILLER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2032
Mailing Address - Country:US
Mailing Address - Phone:321-841-4607
Mailing Address - Fax:407-636-7883
Practice Address - Street 1:92 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2032
Practice Address - Country:US
Practice Address - Phone:321-841-4607
Practice Address - Fax:407-636-7883
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034240367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered