Mrs. Sandra Kay Raby
Nurse Practitioner - Gerontology
100 E Michigan Ave Ste 102
Jackson
, Michigan 49201-1406
Mrs. Sandra Kay Raby
Nurse Practitioner - Gerontology
100 E Michigan Ave Ste 102
Jackson
, Michigan 49201-1406
(517) 205-7649
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Sandra Kay Raby
- 100 E Michigan Ave Ste 102
- Jackson, MI
- Zip : 49201-1406
- Fax : (517) 205-7649
- Phone : (517) 205-1731
Second Address
- Mrs. Sandra Kay Raby
- 100 E Michigan Ave Ste 102
- Jackson, MI
- Zip : 49201-1406
- Fax : (517) 205-7649
- Phone : (517) 205-1731
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 4704138831 | MI |
National Provider Identifier
| NPI | 1043472509 |
|---|---|
| Provider Name | Mrs. Sandra Kay Raby |
| First Address | Jackson, MI 49201-1406 |
| Second Address | Jackson, MI 49201-1406 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2008 |
| Last Update Date | 31/03/2021 |
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.