Healthcare Provider Details

I. General information

NPI: 1467404095
Provider Name (Legal Business Name): JAMI ARANDA P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 N COFCO CENTER COURT SUITE 350
PHOENIX AZ
85008-6471
US

IV. Provider business mailing address

P.O. BOX 29870
PHOENIX AZ
85038-9870
US

V. Phone/Fax

Practice location:
  • Phone: 602-393-1010
  • Fax: 602-393-1011
Mailing address:
  • Phone: 602-772-3805
  • Fax: 302-772-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3798
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: