Provider Demographics
NPI:1689948986
Name:ARIELLA, RAYA (FNP)
Entity type:Individual
Prefix:
First Name:RAYA
Middle Name:
Last Name:ARIELLA
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:999 DALTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-2903
Practice Address - Country:US
Practice Address - Phone:413-242-6577
Practice Address - Fax:413-242-6637
Is Sole Proprietor?:No
Enumeration Date:2012-03-04
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY33 340065363LF0000X
MARN2270209363LF0000X
MECNP121049363LF0000X
CT6579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT6579OtherAPRN LICENSE
MARN2270209OtherMASSACHUSETTS NP LICENSE