Dr. Kristyn Annice Raya
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
2570 24th St Ste 124
Rock Island
, Illinois 61201-5394
Dr. Kristyn Annice Raya
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
2570 24th St Ste 124
Rock Island
, Illinois 61201-5394
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Dr. Kristyn Annice Raya
- 2570 24th St Ste 124
- Rock Island, IL
- Zip : 61201-5394
- Phone :
Second Address
- Dr. Kristyn Annice Raya
- 2570 24th St Ste 124
- Rock Island, IL
- Zip : 61201-5394
- Phone : (309) 779-5000
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Is Dr. Kristyn Annice Raya a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 209021454 | IL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 209021454 | IL |
National Provider Identifier
| NPI | 1063047371 |
|---|---|
| Provider Name | Dr. Kristyn Annice Raya |
| First Address | Rock Island, IL 61201-5394 |
| Second Address | Rock Island, IL 61201-5394 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2020 |
| Last Update Date | 16/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.