Individual
RAVY S SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3413 SPECTRUM BLVD, RICHARDSON, TX 75082-9705
(972) 884-4160
Mailing address
5801 HEATHERWOOD LOOP, SACHSE, TX 75048-4193
(617) 669-5550
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2311466
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
1111476
TX
Other
Enumeration date
10/26/2021
Last updated
02/07/2024
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