Individual
BRIANNA RAGHUNATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 KENWORTHY ST STE 1000, EL PASO, TX 79924-4412
(915) 298-3434
(915) 298-3434
Mailing address
1729 WESTON BRENT LN STE A, EL PASO, TX 79935-3013
(915) 256-9751
(915) 974-2344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
866130
TX
363LF0000X
Family Nurse Practitioner
Primary
1056906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056906
APRN-CNP
TX
01
—
866130
RN
TX
Enumeration date
11/01/2021
Last updated
10/26/2022
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