Doctor Name: | MRS. RACHEL I RAVEN |
NPI Number: | 1689872566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 2741741 |
Business Practice Address: | 77 W. Barney St. Gouverneur, NY - 13642 |
Business Phone Number: | 3152615871 |
Business Fax Number: | 3157143068 |
Mailing Address: | 50 Leroy St, POTSDAM |
State: | NY |
Postal Code: | 136761786 |
Phone Number: | 3152616034 |
Fax Number: | 3152616025 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 2741741 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |