Individual
ADRIAN JANE RAABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, APRN
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(469) 797-2101
(817) 730-0510
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(469) 797-2101
(817) 730-0510
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP119771
TX
363LG0600X
Gerontology Nurse Practitioner
AP119771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352391YL7A
MEDICARE - OTHER COUNTY
TX
01
—
P00943148
MEDICARE RAILROAD
TX
Enumeration date
02/15/2011
Last updated
01/10/2024
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