Raciti, Audrieanna Elease
Raciti, Audrieanna Elease is an individual health care provider with primary practice located at 110 Business Park Dr , Utica NY 13502-6302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Raciti, Audrieanna Elease can be contacted via phone (315) 624-7000.Contact Information
Primary practice address
110 Business Park Dr
Utica NY 13502-6302
Phone: (315) 624-7000
Fax: (315) 793-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 33338830 | New York |
Profile Details
| NPI number | 1730596636 |
|---|---|
| LBN Legal business name | Raciti, Audrieanna Elease |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2014 |
| Last updated | Oct 28th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730596636 | NPPES |
| New York | MEDICAID | 03946710 |
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