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Individual

SUE ANN RANKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
548310
TX
363L00000X
Nurse Practitioner
Primary
AP108546
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042490505
TX
05
042490506
TX
05
042490507
TX
05
042490508
TX
05
200305130 A
OK
05
52227871
NM
Enumeration date
07/21/2008
Last updated
11/28/2017
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