Smith, Raeann Sue

Smith, Raeann Sue is an individual health care provider with primary practice located at 2919 Valmont Rd Ste 204 , Boulder CO 80301-1350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Raeann Sue can be contacted via phone (303) 938-1110.

Contact Information

Primary practice address
2919 Valmont Rd Ste 204 Boulder CO 80301-1350
Phone: (303) 938-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0997636-NP Colorado

Profile Details

NPI number 1720719578
LBN Legal business name Smith, Raeann Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Jun 22nd, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720719578 NPPES
Colorado Other APN.0997636-NP COLORADO DEPARTMENT OF REGULATORY AGENCIES

Popular Providers