Raby, Deana J

Raby, Deana J is an individual health care provider with primary practice located at 205 W R D Mize Rd Suite 304, Blue Springs MO 64014-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Raby, Deana J can be contacted via phone (816) 228-4770.

Contact Information

Primary practice address
205 W R D Mize Rd Suite 304 Blue Springs MO 64014-2518
Phone: (816) 228-4770
Fax: (816) 228-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 077428 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 44356 Kansas

Profile Details

NPI number 1164406260
LBN Legal business name Raby, Deana J
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164406260 NPPES
Missouri MEDICAID 428606818

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