Provider Demographics
NPI:1447964655
Name:ARANDA, KATHERINE MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIE
Last Name:ARANDA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 AMBER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-2226
Mailing Address - Country:US
Mailing Address - Phone:915-491-3679
Mailing Address - Fax:
Practice Address - Street 1:8623 N LOOP DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-4520
Practice Address - Country:US
Practice Address - Phone:915-881-4155
Practice Address - Fax:915-881-4172
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily