Provider Demographics
NPI:1174141956
Name:ARBANEY, HEATHER ANN
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:ARBANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10602 E SHORE DR
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56465-4199
Mailing Address - Country:US
Mailing Address - Phone:303-917-2539
Mailing Address - Fax:
Practice Address - Street 1:7115 FORTHUN RD
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8597
Practice Address - Country:US
Practice Address - Phone:218-454-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7533363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health