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NPI Code Detail

MEDICARE: KATHERINE RAYMOND APRN

MEDICARE: KATHERINE RAYMOND APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor84450TX
2163W00000XRegistered Nurse1007203TX
3363LP0808XPsychiatric/Mental Health Nurse Practitioner1007203TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184874240
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE RAYMOND APRN
Provider Business Mailing Address
First Line : 4517 SECURE LN
Second Line :
City : AUSTIN
State : TX
Zip : 78725-3931
Country : US
Telephone Number : 512-203-6335
Fax Number :
Provider Business Practice Location Address
First Line : 8402 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-4595
Country : US
Telephone Number : 512-203-6335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2008
Last Update Date : 08/10/2024

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Directions to “ KATHERINE RAYMOND APRN” Practice Location

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