Individual
CODI RAE RAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
(317) 583-3099
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28210480A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
28210480A
IN
Other
Enumeration date
09/08/2022
Last updated
11/15/2022
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