Provider Demographics
NPI:1275040131
Name:ARANDA, HEATHER REGANN (APRN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:REGANN
Last Name:ARANDA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:OZAWKIE
Mailing Address - State:KS
Mailing Address - Zip Code:66070-9564
Mailing Address - Country:US
Mailing Address - Phone:785-249-9548
Mailing Address - Fax:
Practice Address - Street 1:2200 SW GAGE BLVD BLDG 2
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622-4003
Practice Address - Country:US
Practice Address - Phone:785-350-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77995363LF0000X
KS53-77995-102363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily