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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164406260 | NPPES |
Missouri | MEDICAID | 428606818 |
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