Provider Demographics
NPI:1386606598
Name:MIONE, REBECCA NANETTE (APRN, BC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:NANETTE
Last Name:MIONE
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4513 COUNTY ROAD 3270
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-3824
Mailing Address - Country:US
Mailing Address - Phone:254-258-4080
Mailing Address - Fax:
Practice Address - Street 1:458 TOWN SQ
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2826
Practice Address - Country:US
Practice Address - Phone:254-258-4080
Practice Address - Fax:254-547-3297
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX826843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily