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Mrs. Lacey Jo Raiche, FNP
Family Nurse Practitioner in Menomonie, Wisconsin
NPI 1679834857

Lacey Jo Raiche is a Family Nurse Practitioner based in Menomonie, WI and is specialized in Family. Lacey Jo Raiche practices in Menomonie, WI and has the professional credentials of FNP. The NPI Number for Lacey Jo Raiche is 1679834857 and holds a License No. R207746-8 (Wisconsin).

The current practice location address for Lacey Jo Raiche is 3603 Schneider Avenue, Menomonie, WI and can be reached out via phone at 715-233-6400.

Location: 3603 Schneider Avenue, Menomonie, WI, 54751-5674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679834857
Provider Name
Lacey Jo Raiche
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3603 Schneider Avenue, Menomonie, WI, 54751-5674
Phone Number
715-233-6400
Fax Number
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679834857 05 MN
institution
Provider Business Practice Location Address Details
Address
3603 Schneider Avenue
City
Menomonie
State
Wisconsin
Zip
54751-5674
Phone Number
715-233-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3603 Schneider Avenue
City
Menomonie
State
Wisconsin
Zip
54751-5674
Phone Number
715-233-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
162013-30 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R207746-8 (Minnesota)
Definition
Definition to come...
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