Rakestraw, Wendy N

Rakestraw, Wendy N is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 200 , Johnson City TN 37604-2364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Rakestraw, Wendy N can be contacted via phone (423) 794-1300.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 200 Johnson City TN 37604-2364
Phone: (423) 794-1300
Fax: (423) 794-1820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 24839 Tennessee

Profile Details

NPI number 1457836934
LBN Legal business name Rakestraw, Wendy N
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated Nov 1st, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457836934 NPPES
Tennessee MEDICAID Q044608

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