CORI ELIZABETH RAIKEN


Address: 905 Lake Lily Dr Apt C432, Maitland, FL 32751-7680
Phone: 4074560757

CORI ELIZABETH RAIKEN (NPI# 1104220292) 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) 1104220292
Entity Type Individual
Full Name CORI ELIZABETH RAIKEN
Credential ARNP
Practice Address 905 Lake Lily Dr Apt C432
Maitland
FL 32751-7680
Practice Telephone 4074560757
Mailing Telephone 4074560757
Enumeration Date 2014-10-17
Last Update Date 2014-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
ARNP9311068 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 905 LAKE LILY DR APT C432
City MAITLAND
State FL
Zip Code 32751-7680

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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Competitor

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City MAITLAND
Zip Code 32751

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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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