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NPI Code Detail

MEDICARE: MICHELLE KAY RAIN AGACNP-BC

MEDICARE: MICHELLE KAY RAIN AGACNP-BC
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
1163W00000XRegistered Nurse117889MO
2363LA2100XAcute Care Nurse Practitioner0034385OH
3363LA2100XAcute Care Nurse PractitionerAPRNCNP0034385OH
4363LA2100XAcute Care Nurse PractitionerCNP77677NM

General Provider Information

NPI Number : 1982725768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE KAY RAIN AGACNP-BC
Provider Business Mailing Address
First Line : 1619 SKYLINE CIR STE A
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-9842
Country : US
Telephone Number : 575-941-4400
Fax Number : 833-620-2406
Provider Business Practice Location Address
First Line : 1619 SKYLINE CIR STE A
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-9842
Country : US
Telephone Number : 575-941-4400
Fax Number : 833-620-2406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 01/22/2026

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Directions to “ MICHELLE KAY RAIN AGACNP-BC” Practice Location

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