Raynor, Abbey P.

Raynor, Abbey P. is an individual health care provider with primary practice located at 37100 N Gantzel Rd Ste 106 , San Tan Valley AZ 85140-7350. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Raynor, Abbey P. can be contacted via phone (480) 821-3600.

Contact Information

Primary practice address
37100 N Gantzel Rd Ste 106 San Tan Valley AZ 85140-7350
Phone: (480) 821-3600
Fax: (480) 821-3610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4497 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4497 Arizona

Profile Details

NPI number 1073846853
LBN Legal business name Raynor, Abbey P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated May 30th, 2024 - about 2 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 1073846853 NPPES
Arizona MEDICAID 489181

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