Individual
ELAINE MARIE RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1585 GEORGESVILLE SQUARE DR, COLUMBUS, OH 43228-3777
(614) 335-0030
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309831
MI
363LF0000X
Family Nurse Practitioner
RN260821
GA
Other
Enumeration date
08/25/2016
Last updated
10/18/2016
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