Provider Demographics
NPI:1194200766
Name:GIRARD, RAHNE (ARPN-C)
Entity Type:Individual
Prefix:
First Name:RAHNE
Middle Name:
Last Name:GIRARD
Suffix:
Gender:F
Credentials:ARPN-C
Other - Prefix:
Other - First Name:RAHNE
Other - Middle Name:
Other - Last Name:KUNZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:815 KILEY PKWY UNIT 1303
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-4098
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2091 BOX BUTTE AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-4452
Practice Address - Country:US
Practice Address - Phone:308-762-2534
Practice Address - Fax:308-762-2764
Is Sole Proprietor?:No
Enumeration Date:2018-09-30
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE112764OtherFAMILY NURSE PRACTITIONER