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NPI Code Detail

MEDICARE: SHELLIE ANN RABNER RN, FNP-C

MEDICARE: SHELLIE ANN RABNER RN, FNP-C
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
1363LF0000XFamily Nurse Practitioner1069776TX
2363LF0000XFamily Nurse Practitioner777884TX

General Provider Information

NPI Number : 1053065524
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLIE ANN RABNER RN, FNP-C
Provider Business Mailing Address
First Line : 2280 HIGHLAND VILLAGE RD STE 130
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7189
Country : US
Telephone Number : 972-317-1400
Fax Number :
Provider Business Practice Location Address
First Line : 2280 HIGHLAND VILLAGE RD STE 130
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-7189
Country : US
Telephone Number : 972-317-1400
Fax Number : 972-317-1477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 11/06/2023

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