Provider Demographics
NPI:1396398087
Name:RAIN, AMY EVA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:EVA
Last Name:RAIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4001
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4001
Mailing Address - Country:US
Mailing Address - Phone:936-304-1700
Mailing Address - Fax:936-304-1701
Practice Address - Street 1:102 MEDICAL PARK LN STE A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4975
Practice Address - Country:US
Practice Address - Phone:936-304-1700
Practice Address - Fax:936-304-1701
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily