Individual
ARIANA NICHELLE HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 N MAIN ST, SPRINGBORO, OH 45066-7519
(937) 748-4211
(937) 748-3566
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.131991
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236067
—
OH
Enumeration date
04/23/2014
Last updated
03/22/2019
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