Individual
SHAYLA RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN222256
GA
363LF0000X
Family Nurse Practitioner
19532
SC
363LF0000X
Family Nurse Practitioner
RN222256
GA
Other
Enumeration date
05/11/2015
Last updated
11/20/2023
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