MEDICARE: DAWN RAINER APRN-BC

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
1	363LF0000X	Family Nurse Practitioner	209020633	IL
2	363LF0000X	Family Nurse Practitioner	1138390	TX

General Provider Information

NPI Number	:	1780223289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN RAINER APRN-BC

Provider Business Mailing Address
First Line	:	9812 SCHAFFNER DR
Second Line	:
City	:	HUNTLEY
State	:	IL
Zip	:	60142-0087
Country	:	US
Telephone Number	:	815-540-1371
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 WEST FWY STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-5851
Country	:	US
Telephone Number	:	817-423-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2019
Last Update Date	:	12/22/2025

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Directions to “ DAWN RAINER APRN-BC” Practice Location

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