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NPI Code Detail

MEDICARE: MS. SHERRY RAE RABER RN

MEDICARE: MS. SHERRY RAE RABER RN
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
1163WP0808XPsychiatric/Mental Health Registered NurseR31194AR

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 : 1356449268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERRY RAE RABER RN
Provider Business Mailing Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-534-5798
Provider Business Practice Location Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-534-5798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 02/08/2012

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Directions to “ MS. SHERRY RAE RABER RN” Practice Location

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