Provider Demographics
NPI:1396227856
Name:ARANDA, MAXINE LERMA (MSN, CPNP)
Entity Type:Individual
Prefix:
First Name:MAXINE
Middle Name:LERMA
Last Name:ARANDA
Suffix:
Gender:F
Credentials:MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 MARSHALL LN
Mailing Address - Street 2:
Mailing Address - City:POTEET
Mailing Address - State:TX
Mailing Address - Zip Code:78065-4617
Mailing Address - Country:US
Mailing Address - Phone:210-287-2025
Mailing Address - Fax:
Practice Address - Street 1:2148 JACKSON KELLER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2722
Practice Address - Country:US
Practice Address - Phone:210-501-0703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics