Individual
BROOKE NICOLE RANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4401 CORPORATE DR, TEXARKANA, TX 75503
(903) 223-9911
(903) 223-6380
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 831-7258
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AP136927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP136927
TEXAS BOARD OF NURSING
TX
Enumeration date
03/12/2018
Last updated
06/14/2019
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