Individual
RAVEN ARAVIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1900 CADDO STREET, NUMBER 4, DALLAS, TX 75204-4223
(817) 266-5142
Mailing address
1900 CADDO STREET, NUMBER 4, DALLAS, TX 75204-4223
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP144708
TX
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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