MEDICARE: MICHELLE RALEIGH NP

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
1	363L00000X	Nurse Practitioner	3017464	KY

General Provider Information

NPI Number	:	1902530660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE RALEIGH NP

Provider Business Mailing Address
First Line	:	8 APPLE BLOSSOM LN
Second Line	:
City	:	ALEXANDRIA
State	:	KY
Zip	:	41001-1202
Country	:	US
Telephone Number	:	859-360-4231
Fax Number	:

Provider Business Practice Location Address
First Line	:	5032 LOCH DR
Second Line	:
City	:	UNION
State	:	KY
Zip	:	41091-1485
Country	:	US
Telephone Number	:	859-360-4231
Fax Number	:	859-212-0308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2022
Last Update Date	:	01/05/2026

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Directions to “ MICHELLE RALEIGH NP” Practice Location

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