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Individual
NANCY RAYNER
Active
Individual
NANCY RAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN35494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311
NURSE PRACTITIONER #
CA
05
—
R 355494
—
CA
Enumeration date
02/12/2007
Last updated
12/16/2010
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