Individual
ABIGAIL R RAYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
097940
MO
163WG0000X
General Practice Registered Nurse
13-48978-101
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
097940
MO
363LA2200X
Adult Health Nurse Practitioner
44902
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097940
MO ANP LICENSE
MO
01
—
44902
KS ARNP LICENSE
KS
Enumeration date
06/25/2006
Last updated
07/13/2026
Update your record
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