Provider Demographics
NPI:1730698614
Name:MEDRANO, RACHAEL KATHRYN (MS, RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:KATHRYN
Last Name:MEDRANO
Suffix:
Gender:F
Credentials:MS, RN, FNP-C
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:KATHRYN
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 N MACARTHUR BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2210
Mailing Address - Country:US
Mailing Address - Phone:972-253-4210
Mailing Address - Fax:972-253-2510
Practice Address - Street 1:2021 N MACARTHUR BLVD STE 150
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2210
Practice Address - Country:US
Practice Address - Phone:197-225-2560
Practice Address - Fax:972-253-4218
Is Sole Proprietor?:No
Enumeration Date:2017-09-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily