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NPI Code Detail

MEDICARE: DIANE RAINOSEK NP

MEDICARE: DIANE RAINOSEK NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP101821TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033254370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE RAINOSEK NP
Provider Business Mailing Address
First Line : 5339 N IH 35 STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2558
Country : US
Telephone Number : 512-324-1000
Fax Number :
Provider Business Practice Location Address
First Line : 5339 N IH 35 STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2558
Country : US
Telephone Number : 512-324-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 02/13/2017

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