Individual
DR. KRISTYN ANNICE RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
(309) 779-5000
Mailing address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209021454
IL
363LG0600X
Gerontology Nurse Practitioner
209021454
IL
Other
Enumeration date
03/06/2020
Last updated
09/16/2020
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