Individual
REBECCA BUMIA ATANODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7264 ROBLE GRANDPRAIRE, GRANDPRAIRE, TX 75054
(469) 544-7817
Mailing address
7264 ROBLE GRANDPRAIRE, GRANDPRAIRE, TX 75054
(469) 544-7817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1112028
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61497029
WA
Other
Enumeration date
03/07/2023
Last updated
06/21/2024
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