Individual
RAE ANN HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGNP-C
Contact information
Practice address
21942 EDGEWATER DR, PORT CHARLOTTE, FL 33952-9723
(941) 505-2100
(941) 505-6100
Mailing address
21942 EDGEWATER DR, PORT CHARLOTTE, FL 33952-9723
(941) 505-2100
(941) 505-6100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1014742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003XX
BC/BS GROUP
FL
01
—
DS5131
RR MEDICARE GROUP
FL
01
—
FB001A
MEDICARE GROUP
FL
01
—
IF712Z
MEDICARE
FL
01
—
P01581693
RR MEDICARE
FL
01
—
Y0RX4
BC/BS
FL
Enumeration date
05/28/2015
Last updated
06/30/2020
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