Individual provider · Type 1 NPI
Nicklas Lee Raycraft, FNP-C
Family Nurse Practitioner · Muskegon, MI
NPI number
1154934842
Active
Practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
671 Whitman Ave
Holland, MI 49423-6742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704318829 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154934842
Nicklas Lee Raycraft, FNP-C's National Provider Identifier is 1154934842, issued on Aug 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Muskegon, MI. The record was last updated on Aug 24, 2020.