Provider Demographics
NPI:1538628227
Name:SHAIFER, ARIEL DOMINIQUE (FNP-C)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:DOMINIQUE
Last Name:SHAIFER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16055 COLUMBINE PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7718
Mailing Address - Country:US
Mailing Address - Phone:734-740-9374
Mailing Address - Fax:
Practice Address - Street 1:9195 GRANT ST STE 205
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4386
Practice Address - Country:US
Practice Address - Phone:720-307-7246
Practice Address - Fax:720-502-5271
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0994426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily