Individual
MS. JUDITH ANN RAINES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2196 THISTLEWOOD WAY, SANDY, UT 84092-3214
(801) 942-0613
Mailing address
2196 THISTLEWOOD WAY, SANDY, UT 84092-3214
(801) 942-0613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190945-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U002
—
UT
01
—
U006
BLUE CROSS
UT
Enumeration date
05/05/2006
Last updated
07/08/2007
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