Provider Demographics
NPI:1992415582
Name:RAHMAN, YASMIN MARYAM (FNP)
Entity type:Individual
Prefix:MRS
First Name:YASMIN
Middle Name:MARYAM
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9805 BRODIE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5610
Mailing Address - Country:US
Mailing Address - Phone:512-462-1936
Mailing Address - Fax:833-448-3184
Practice Address - Street 1:9805 BRODIE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5610
Practice Address - Country:US
Practice Address - Phone:512-462-1936
Practice Address - Fax:833-448-3184
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT903087163WG0000X
TX1103509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty