Provider Demographics
NPI:1043027618
Name:RAYNER, ARIANA DENISE
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:DENISE
Last Name:RAYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 GOVERNOR MOORE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-5999
Mailing Address - Country:US
Mailing Address - Phone:910-309-5271
Mailing Address - Fax:
Practice Address - Street 1:489 GOVERNOR MOORE RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-5999
Practice Address - Country:US
Practice Address - Phone:910-309-5271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty