Individual provider · Type 1 NPI

Rebecca Dianne Raic, MSN, RN, CPNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1114103850 Active

Practice location

1 Childrens Pl, 7E19
St. Louis, MO 63110-1002

Call (314) 454-4514 Map

Fax (314) 454-4761

Mailing address

3278 Country Hollow Dr
St. Louis, MO 63129-7029

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X110918 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114103850

Rebecca Dianne Raic, MSN, RN, CPNP's National Provider Identifier is 1114103850, issued on Jan 11, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 11, 2008.