MEDICARE: MRS. SARAH ELIZABETH RAYA REGISTERED NURSE

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	163W00000X	Registered Nurse	201883	NC

General Provider Information

NPI Number	:	1962480749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH RAYA REGISTERED NURSE

Provider Business Mailing Address
First Line	:	CMR 470 BOX 646
Second Line	:
City	:	APO
State	:	AE
Zip	:	09165
Country	:	DE
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HANAU HEALTH CLINIC
Second Line	:	CMR 470 BOX 0030
City	:	APO
State	:	AE
Zip	:	09165
Country	:	DE
Telephone Number	:	49061815006732
Fax Number	:	49061815006668

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/21/2022

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