Individual
TANYA JANE RAEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-8679
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 689-5600
(757) 579-8532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024177701
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
4026333
KY
363LA2100X
Acute Care Nurse Practitioner
APN13911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514749
—
TN
01
—
4352409
BCBS
TN
05
—
7100158680
—
KY
Enumeration date
07/26/2006
Last updated
12/02/2024
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