Individual
MS. SHANNASE RAMBALLY-BEROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
API36384
TX
363LP2300X
Primary Care Nurse Practitioner
AP136384
TX
363LP2300X
Primary Care Nurse Practitioner
AP13684
TX
363LP2300X
Primary Care Nurse Practitioner
API36384
TX
Other
Enumeration date
03/26/2018
Last updated
07/15/2021
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