Provider Demographics
NPI:1265753503
Name:BROWN, RANISHA RONNAE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RANISHA
Middle Name:RONNAE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:RANISHA
Other - Middle Name:RONNAE
Other - Last Name:HARWELL-SPILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15 WALLER ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-5240
Mailing Address - Country:US
Mailing Address - Phone:512-972-5489
Mailing Address - Fax:512-972-5451
Practice Address - Street 1:15 WALLER ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-5240
Practice Address - Country:US
Practice Address - Phone:512-972-5489
Practice Address - Fax:512-972-5451
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1106515363LF0000X
WI157903-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse