Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP139192 | TX |
NPI | 1033684642 |
---|---|
Provider Name | Vilma Lorena Rangel |
First Address | Brownsville, TX 78520-9342 |
Second Address | Brownsville, TX 78526-4333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2018 |
Last Update Date | 15/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AP139192 | APRN LICENSE NUMBER (01) | TX |