Individual
RAEANN LYNN NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(317) 709-9850
Mailing address
1588 BARCLAY AVE, OWENSBORO, KY 42303-9208
(317) 709-9850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202985
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
136050
KY
Other
Enumeration date
07/05/2023
Last updated
07/11/2023
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