Provider Demographics
NPI:1467404095
Name:ARANDA, JAMI (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:
Last Name:ARANDA
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:P.O. BOX 29870
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9870
Mailing Address - Country:US
Mailing Address - Phone:602-772-3805
Mailing Address - Fax:302-772-3801
Practice Address - Street 1:690 N COFCO CENTER COURT
Practice Address - Street 2:SUITE 350
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6471
Practice Address - Country:US
Practice Address - Phone:602-393-1010
Practice Address - Fax:602-393-1011
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3798363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3Z3950OtherHEALTHNET
AZ3Z3950OtherHEALTHNET
AZP00845789Medicare PIN