Raven, Emily Sue

Raven, Emily Sue is an individual health care provider with primary practice located at 8611 W Point Douglas Rd S , Cottage Grove MN 55016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Raven, Emily Sue can be contacted via phone (651) 488-1884.

Contact Information

Primary practice address
8611 W Point Douglas Rd S Cottage Grove MN 55016
Phone: (651) 488-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 074338 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13145 Minnesota

Profile Details

NPI number 1154738805
LBN Legal business name Raven, Emily Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated Dec 3rd, 2019 - about 5 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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