MEDICARE: ARUSHA P HEYAT APRN

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	363LG0600X	Gerontology Nurse Practitioner	AG10180012	AL
2	363LG0600X	Gerontology Nurse Practitioner	APRN11000547	FL
3	363L00000X	Nurse Practitioner	APRN11000547	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386115483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUSHA P HEYAT APRN

Provider Business Mailing Address
First Line	:	6101 PINE RIDGE RD STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-449-3072
Fax Number	:	877-334-1886

Provider Business Practice Location Address
First Line	:	6770 IMMOKALEE RD UNIT 111
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-9085
Country	:	US
Telephone Number	:	239-594-8002
Fax Number	:	239-594-3447

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	05/07/2026

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