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Individual
MRS. JOYCE ELLEN RACZ
Active
Individual
MRS. JOYCE ELLEN RACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, RN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28082633A
IN
363L00000X
Nurse Practitioner
Primary
71005543
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000955116
BCBS CENTENNIAL NEIGHBORHOOD HEALTH CENTER
IN
05
—
201315860
—
IN
Enumeration date
05/05/2015
Last updated
03/28/2016
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