Individual
JEFFERY RAUDABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN-RN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN261645
OH
163WC1500X
Community Health Registered Nurse
RN261645
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN261645
OH
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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