Healthcare Provider Details

I. General information

NPI: 1609703065
Provider Name (Legal Business Name): MHEGAN ARANA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MARKET ST APT 218
SAN DIEGO CA
92101-7635
US

IV. Provider business mailing address

1330 MARKET ST APT 218
SAN DIEGO CA
92101-7635
US

V. Phone/Fax

Practice location:
  • Phone: 312-647-3325
  • Fax: 312-647-3325
Mailing address:
  • Phone: 312-647-3325
  • Fax: 312-647-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95243691
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number041436880
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1707315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: