Aleysa Raymond, NP
Registered Nurse, Gerontology in Peoria, AZ. Individual provider (NPI-1).
NPI number1356712285
StatusActive
Last updated in NPPESJan 30, 2017
Details
- NPI
- 1356712285
- Entity type
- Individual (NPI-1)
- Name
- Aleysa Raymond
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2015
- Last updated
- Jan 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | AP9620 | AZ | Yes |
| 163W00000X | Registered Nurse | RN203795 | AZ | |
| 163WG0600X | Registered Nurse, Gerontology | 041.385179 | IL | |
| 363LG0600X | Nurse Practitioner, Gerontology | 209.013442 | IL |
Practice location
13128 N. 94th DrSuite 100
Peoria, AZ 85381-4252
Phone 623-876-8816 · Fax 623-298-0168
Mailing address
13128 N. 94th DrSuite 100
Peoria, AZ 85381-4252
Phone 623-876-8816 · Fax 623-298-0168
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