Basic Information
Provider Information
NPI: 1295947851
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARANDA
FirstName: BLANCA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: REGISTERED NURSE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3806 VIA VERDI
Address2:  
City: EL SOBRANTE
State: CA
PostalCode: 948032743
CountryCode: US
TelephoneNumber: 5104283886
FaxNumber: 5106013912
Practice Location
Address1: 747 52ND ST
Address2:  
City: OAKLAND
State: CA
PostalCode: 946091809
CountryCode: US
TelephoneNumber: 5104283886
FaxNumber: 5106013912
Other Information
ProviderEnumerationDate: 05/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0200X563696CAY Nursing Service ProvidersRegistered NursePediatrics

No ID Information.


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