Provider Demographics
NPI:1386115483
Name:HEYAT, ARUSHA P (APRN)
Entity type:Individual
Prefix:
First Name:ARUSHA
Middle Name:P
Last Name:HEYAT
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ARUSHA
Other - Middle Name:
Other - Last Name:JACOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARPN
Mailing Address - Street 1:3077 CITRON GOLD BLVD APT 309
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7427
Mailing Address - Country:US
Mailing Address - Phone:205-585-0286
Mailing Address - Fax:
Practice Address - Street 1:5311 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4558
Practice Address - Country:US
Practice Address - Phone:877-381-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAG10180012363LG0600X
FLAPRN11000547363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology