Burnside, Rana Diane
Burnside, Rana Diane is an individual health care provider with primary practice located at 520 N Pine St , Harrison AR 72601-3442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burnside, Rana Diane can be contacted via phone (870) 741-0249.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01507 | Arkansas |
Profile Details
NPI number | 1639229339 |
---|---|
LBN Legal business name | Burnside, Rana Diane |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2007 |
Last updated | Dec 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639229339 | NPPES |
Arkansas | MEDICAID | 145381758 | |
Arkansas | Other | 500024097 |
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