Provider Demographics
NPI:1275195570
Name:NOURAIN, RAWDA
Entity Type:Individual
Prefix:
First Name:RAWDA
Middle Name:
Last Name:NOURAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 REDLEAF DR APT 3401
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6535
Mailing Address - Country:US
Mailing Address - Phone:682-559-1339
Mailing Address - Fax:
Practice Address - Street 1:902 REDLEAF DR APT 3401
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6535
Practice Address - Country:US
Practice Address - Phone:682-559-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX966581163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse