Provider Demographics
NPI:1801810114
Name:RANCK, MARY ELLEN (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELLEN
Last Name:RANCK
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELLEN
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN FNP-C
Mailing Address - Street 1:2007 MARY RANCK
Mailing Address - Street 2:2007 TRAILWOOD DR
Mailing Address - City:BOWLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028
Mailing Address - Country:US
Mailing Address - Phone:817-454-5997
Mailing Address - Fax:
Practice Address - Street 1:11801 SOUTH FWY TEXAS HEALTH HUGULEY
Practice Address - Street 2:11801 SOUTH FWY
Practice Address - City:BOWLESON
Practice Address - State:TX
Practice Address - Zip Code:76028
Practice Address - Country:US
Practice Address - Phone:817-568-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX655954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily