MEDICARE: HEATHER ANN ARBANEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	7533	MN

General Provider Information

NPI Number	:	1174141956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN ARBANEY

Provider Business Mailing Address
First Line	:	10602 E SHORE DR
Second Line	:
City	:	MERRIFIELD
State	:	MN
Zip	:	56465-4199
Country	:	US
Telephone Number	:	303-917-2539
Fax Number	:

Provider Business Practice Location Address
First Line	:	7115 FORTHUN RD
Second Line	:
City	:	BAXTER
State	:	MN
Zip	:	56425-8597
Country	:	US
Telephone Number	:	218-454-0090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	07/08/2020

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Directions to “ HEATHER ANN ARBANEY ” Practice Location

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