Provider Demographics
| NPI: | 1871082271 |
|---|---|
| Name: | ARNETT, HEATHER DAWN (APRN-CNP) |
| Entity type: | Individual |
| Prefix: | MRS |
| First Name: | HEATHER |
| Middle Name: | DAWN |
| Last Name: | ARNETT |
| Suffix: | |
| Gender: | F |
| Credentials: | APRN-CNP |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 700 ACKERMAN RD STE 2120 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43202-1559 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 614-293-7564 |
| Mailing Address - Fax: | 614-293-3320 |
| Practice Address - Street 1: | 452 W 10TH AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | COLUMBUS |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43210-1240 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 614-366-8030 |
| Practice Address - Fax: | 614-366-4545 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2018-05-02 |
| Last Update Date: | 2019-11-25 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | APRN.CNP.023140 | 363L00000X, 363LA2100X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | 0312435 | Medicaid |