DUSTY RAE HANE


Address: Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605
Phone: 9037581818

DUSTY RAE HANE (NPI# 1194353730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194353730
Entity Type Individual
Full Name DUSTY RAE HANE
Other Name DUSTY RAE DENNIS
Credential AGACNP
Practice Address Diagnostic Clinic of Longview
2901 N Fourth St
Longview
TX 75605
Mailing Address Po Box 610393
Dallas
TX 75261-0393
Practice Telephone 9037581818
Mailing Telephone 9037576042
Enumeration Date 2020-03-30
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP145659 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP145659 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP145659 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address DIAGNOSTIC CLINIC OF LONGVIEW
2901 N FOURTH ST
City LONGVIEW
State TX
Zip Code 75605

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
1598094989 Rene Vest Physical Therapist 365 Honeysuckle Ln, Longview, TX 75605 2009-12-14
Find all providers in zip 75605

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326216227 Elaine Cox Nurse Practitioner 803 Vandercook Way Lowr Columbia, Suite 2, Longview, WA 98632-4057 2008-02-13
1760091193 Josslyn Hastie Morgan Nurse Practitioner 700 E Marshall Ave, Longview, TX 75601-5580 2020-07-31
1316574213 Tera Hollins Nurse Practitioner 701 E Marshall Ave Ste 504, Longview, TX 75601-5544 2020-03-23
1306340690 Brandon G Bryant Nurse Practitioner 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 2018-03-21
1184138901 Chad Crossland Nurse Practitioner 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 2017-12-01
1457861148 James Lee Nurse Practitioner 1005 N Eastman Rd, Longview, TX 75601-4231 2017-10-06
1548632516 Thomas Bell Nurse Practitioner 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 2015-10-29
1619221934 Justin Steward Nurse Practitioner 2901 4th St, Longview, TX 75605-5128 2012-11-08
1942453477 Annette Richmond Mcfarland Nurse Practitioner 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 2008-10-28
1457501025 William N Barker Jr. Nurse Practitioner 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 2008-09-19
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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