Provider Demographics
NPI:1114534609
Name:ARANA, NYANNA LEIGH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NYANNA
Middle Name:LEIGH
Last Name:ARANA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11819 CARVEL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2820
Mailing Address - Country:US
Mailing Address - Phone:281-979-0890
Mailing Address - Fax:
Practice Address - Street 1:21216 NORTHWEST FWY STE 250
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4778
Practice Address - Country:US
Practice Address - Phone:713-426-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1175854OtherNCCPA ID NUMBER