Gary Dwayne Raleigh in Owasso - Nurse Practitioner
Gary Dwayne Raleigh - NPI 1336333442
Gary Dwayne Raleigh is a Nurse Practitioner in Owasso, Oklahoma. Gary Dwayne Raleigh practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Gary Dwayne Raleigh is 1336333442. The last update date is 2010-08-03.
Gary Dwayne Raleigh's current location address is 6906 E 83rd St N, Owasso, Oklahoma. You can contact this provider via phone number 9183416873. The mailing address for Gary Dwayne Raleigh is 6906 E 83rd St N, Owasso, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Dwayne Raleigh |
|---|---|
| Address | 6906 E 83rd St N, Owasso, Oklahoma |
| Phone Number | 9183416873 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336333442 |
|---|---|
| Provider Enumeration Date | 2007-08-31 |
| Last Updated Date | 2010-08-03 |
Provider Mailing Address Detail
| Address | 6906 E 83rd St N |
|---|---|
| City | Owasso |
| State | Oklahoma (OK) |
| Post Code | 740557290 |
| Phone Number | 9183416873 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 60070 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Gary Dwayne Raleigh by the Centers for Medicare & Medicaid Services?
The Gary Dwayne Raleigh has been issued the NPI (National Provider Identifier) 1336333442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary Dwayne Raleigh is geographically located?
The Gary Dwayne Raleigh is physically situated at the following location: 6906 E 83Rd St N, Owasso, OK, 740557290.
What is Gary Dwayne Raleigh's area of expertise and its corresponding taxonomy classification?
The Gary Dwayne Raleigh's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gary Dwayne Raleigh receive its 1336333442 assignment from the Centers for Medicare & Medicaid Services?
The Gary Dwayne Raleigh was assigned its 1336333442 by the Centers for Medicare & Medicaid Services on 2007-08-31.
As of what date were the details related to Gary Dwayne Raleigh most recently updated or revised?
The information pertaining to Gary Dwayne Raleigh, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-03.
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