Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP125481 | TX |
NPI | 1376176362 |
---|---|
Provider Name | Rani Gatrelle |
First Address | Mcallen, TX 78504-6326 |
Second Address | Brownsville, TX 78520-6338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2020 |
Last Update Date | 18/02/2020 |