Provider Demographics
NPI:1760922926
Name:COLEMAN, RASHANN (RNFA)
Entity Type:Individual
Prefix:
First Name:RASHANN
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 STATE HIGHWAY 121
Mailing Address - Street 2:APT 1023
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4282
Mailing Address - Country:US
Mailing Address - Phone:773-391-0549
Mailing Address - Fax:
Practice Address - Street 1:5500 STATE HIGHWAY 121
Practice Address - Street 2:APT 1023
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4282
Practice Address - Country:US
Practice Address - Phone:773-391-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734150163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant