MS. REBECCA DIANNE RAIC MSN RN CPNP NPI 1114103850

NPI Information

NPI: 1114103850
Provider Name: MS. REBECCA DIANNE RAIC, MSN, RN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 CHILDRENS PL
7E19
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-4514
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MS. Rebecca Dianne Raic, MSN, RN, CPNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Rebecca Dianne Raic, MSN, RN, CPNP NPI is 1114103850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
7E19
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-4514
Fax: (314) 454-4761

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.

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 Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	110918	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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