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Individual

RAEANN RAISOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
(303) 658-9827
(303) 658-9828
Mailing address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
(941) 650-9363
(036) 589-8283

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0101204
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0101839-NP
CO
363LF0000X
Family Nurse Practitioner
APRN11010306
FL
363LF0000X
Family Nurse Practitioner
RXN0101204
CO

Other

Enumeration date
07/27/2017
Last updated
04/22/2026
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