Rayburn, K Denise

Rayburn, K Denise is an individual health care provider with primary practice located at 800 Falls Ave Suite 2, Twin Falls ID 83301-3366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rayburn, K Denise can be contacted via phone (208) 734-6091.

Contact Information

Primary practice address
800 Falls Ave Suite 2 Twin Falls ID 83301-3366
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17497A Idaho

Profile Details

NPI number 1124224712
LBN Legal business name Rayburn, K Denise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 8th, 2007 - about 18 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 1124224712 NPPES
Idaho Other 17497A TEMPORARY NURSE PRAC LIC.

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