Doctor Name: | REBECCA NANETTE MIONE |
NPI Number: | 1386606598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 826843 |
Business Practice Address: | 458 Town Sq Copperas Cove, TX - 765222826 |
Business Phone Number: | 2542584080 |
Business Fax Number: | 2545473297 |
Mailing Address: | 4513 County Road 3270, KEMPNER |
State: | TX |
Postal Code: | 765393824 |
Phone Number: | 2542584080 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 826843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |