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Candice Lauren Raynor, NP
Nurse Practitioner in South Lake Tahoe, California
NPI 1134481104

Candice Lauren Raynor is a Nurse Practitioner based in South Lake Tahoe, CA. Candice Lauren Raynor practices in South Lake Tahoe, CA and has the professional credentials of NP. The NPI Number for Candice Lauren Raynor is 1134481104 and holds a License No. 21581 (California).

The current practice location address for Candice Lauren Raynor is 2170 South Ave, South Lake Tahoe, CA and can be reached out via phone at 530-543-5497 and via fax at 530-541-8683.

Location: 2170 South Ave, South Lake Tahoe, CA, 96150-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134481104
Provider Name
Candice Lauren Raynor
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2170 South Ave, South Lake Tahoe, CA, 96150-6207
Phone Number
530-543-5497
Fax Number
530-541-8683
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2170 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7026
Phone Number
530-543-5497
Fax Number
530-541-8683
person
Provider Business Mailing Address Details
Address
2170 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7026
Phone Number
530-543-5497
Fax Number
530-541-8683
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21581 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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