Provider Demographics
NPI:1417592445
Name:BRATCHER, ALISHIA DIANE (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALISHIA
Middle Name:DIANE
Last Name:BRATCHER
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2895 LEWIS LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-9331
Mailing Address - Country:US
Mailing Address - Phone:972-203-3600
Mailing Address - Fax:
Practice Address - Street 1:2895 LEWIS LN
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9331
Practice Address - Country:US
Practice Address - Phone:372-203-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX640487163W00000X
TXAP144559208100000X, 363L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No163W00000XNursing Service ProvidersRegistered Nurse
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner