MR. MICHAEL LEE RAYMOND RN NPI 1093776999

NPI Information

NPI: 1093776999
Provider Name: MR. MICHAEL LEE RAYMOND, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
3121 SPRING VALLEY RD
OSHKOSH, WI
ZIP 54904
Phone: (920) 420-8377
Get Directions

MR. Michael Lee Raymond, RN is a general practice registered nurse in Oshkosh, WI. MR. Michael Lee Raymond, RN NPI is 1093776999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3121 SPRING VALLEY RD
OSHKOSH, WI
ZIP 54904-809
Phone: (920) 420-8377

The enumeration date for this NPI number is 3/30/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	WISCONSIN	Yes
2	163WP0200X	Registered Nurse	Pediatrics	WISCONSIN	X
3	163WS0200X	Registered Nurse	School	WISCONSIN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38335100	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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