Provider Demographics
NPI:1710988928
Name:FARANDA, ARLENE C (MS, CS, ARNP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:C
Last Name:FARANDA
Suffix:
Gender:F
Credentials:MS, CS, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6881 VILLAS DR S
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5025
Mailing Address - Country:US
Mailing Address - Phone:561-409-6571
Mailing Address - Fax:
Practice Address - Street 1:LYNN UNIVERSITY COUNSELING CENTER
Practice Address - Street 2:3601 NORT MILITARY TRAIL
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-237-7237
Practice Address - Fax:561-237-7057
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1768312163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
S61745Medicare UPIN
Y3764VMedicare ID - Type Unspecified