Raney, Brooke Nicole
Raney, Brooke Nicole is an sole proprietor health care provider with primary practice located at 4401 Corporate Dr , Texarkana TX 75503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Raney, Brooke Nicole can be contacted via phone (903) 223-9911.Contact Information
Primary practice address
4401 Corporate Dr
Texarkana TX 75503
Phone: (903) 223-9911
Fax: (903) 223-6380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | AP136927 | Texas |
Profile Details
| NPI number | 1033612585 |
|---|---|
| LBN Legal business name | Raney, Brooke Nicole |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2018 |
| Last updated | Jun 14th, 2019 - about 5 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 | 1033612585 | NPPES |
| Texas | Other | AP136927 | TEXAS BOARD OF NURSING |
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