Individual
TRACI RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34 N MAIN ST, WARSAW, NY 14569-1326
(585) 786-0220
(585) 786-3631
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
634401
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401890
NY
Other
Enumeration date
04/02/2015
Last updated
07/22/2015
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