Doctor Name: | MRS. MARY PATRICIA RAYNAL |
NPI Number: | 1235310830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN3200022 |
Business Practice Address: | 3000 41st Street Ocean Marathon, FL - 330502373 |
Business Phone Number: | 3054349000 |
Business Fax Number: | |
Mailing Address: | Po Box 510377, KEY COLONY BEACH |
State: | FL |
Postal Code: | 330510377 |
Phone Number: | 3057436542 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2007 |
NPI Last Update Date: | 11/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN3200022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |