Arieta, Jacquelyn M
Arieta, Jacquelyn M is an individual health care provider with primary practice located at 1 Commerce St Anchor Medical Associates Pediatric Department, Lincoln RI 02865-1168. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Arieta, Jacquelyn M can be contacted via phone (401) 793-8484.Contact Information
Primary practice address
1 Commerce St Anchor Medical Associates Pediatric Department
Lincoln RI 02865-1168
Phone: (401) 793-8484
Fax: (401) 793-8481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 152166 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN25654 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CAPRN00817 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN00817 | Rhode Island |
Profile Details
| NPI number | 1679560718 |
|---|---|
| LBN Legal business name | Arieta, Jacquelyn M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679560718 | NPPES |
| Massachusetts | MEDICAID | 0799785 | |
| Massachusetts | Other | 31351-3 | |
| Massachusetts | Other | 78089 | |
| Massachusetts | Other | 0037810 | |
| Massachusetts | Other | 413415 | |
| Massachusetts | Other | NP2548 |
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