Provider Demographics
NPI:1588079685
Name:MARSELLA, ARIANA (PA-C)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:MARSELLA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 TOLL GATE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4462
Mailing Address - Country:US
Mailing Address - Phone:401-214-8725
Mailing Address - Fax:
Practice Address - Street 1:215 TOLL GATE RD STE 301
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4462
Practice Address - Country:US
Practice Address - Phone:401-214-8725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPA00764363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant