Individual
JOSEPHINE RAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
415 N 8TH STREET, OLEAN, NY 14760-2237
(716) 372-9399
(716) 373-5530
Mailing address
415 N 8TH ST, P.O. BOX 1208, OLEAN, NY 14760-6208
(716) 372-9399
(716) 373-5530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026494302
UNIVERA
NY
01
—
00056056604
BLUE CROSS
NY
05
—
02107335
—
NY
01
—
302991
LICENSE
NY
01
—
9590025
IHA
NY
01
—
P019302991
BLUE CHOICE
NY
Enumeration date
07/19/2006
Last updated
03/07/2023
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