MRS. PAMELA DAWN RAINES


Address: 4311 Autumn Creek Dr, Springfield, OH 45504-5112
Phone: 9372064286

MRS. PAMELA DAWN RAINES (NPI# 1699382580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699382580
Entity Type Individual
Full Name MRS. PAMELA DAWN RAINES
Credential APRN
Practice Address 4311 Autumn Creek Dr
Springfield
OH 45504-5112
Practice Telephone 9372064286
Mailing Telephone 9372064286
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APRN.CNP.0027563 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4311 AUTUMN CREEK DR
City SPRINGFIELD
State OH
Zip Code 45504-5112

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SPRINGFIELD
Zip Code 45504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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