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

Primary practice address
520 N Pine St Harrison AR 72601-3442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639229339 NPPES
Arkansas MEDICAID 145381758
Arkansas Other 500024097

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