=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275040131
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEATHER REGANN ARANDA APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2018
-----------------------------------------------------
Last Update Date | 06/11/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2200 SW GAGE BLVD BLDG 2
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66622-4003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-350-3111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 DELAWARE DR
-----------------------------------------------------
City | OZAWKIE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66070-9564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-249-9548
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 53-77995
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 53-77995-102
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------