Rayburn, K Denise
Rayburn, K Denise is an individual health care provider with primary practice located at 800 Falls Ave Suite 2, Twin Falls ID 83301-3366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rayburn, K Denise can be contacted via phone (208) 734-6091.Contact Information
Primary practice address
800 Falls Ave Suite 2
Twin Falls ID 83301-3366
Phone: (208) 734-6091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 17497A | Idaho |
Profile Details
| NPI number | 1124224712 |
|---|---|
| LBN Legal business name | Rayburn, K Denise |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1124224712 | NPPES |
| Idaho | Other | 17497A | TEMPORARY NURSE PRAC LIC. |
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