Individual provider · Type 1 NPI

Raeann Raisor

Family Nurse Practitioner · Broomfield, CO

NPI number 1245754738 Active

Practice location

2355 W 136th Ave
Broomfield, CO 80023-9331

Fax (303) 658-9828

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11010306 (FL)
Family Nurse Practitioner 363LF0000X0101204 (CO)
Family Nurse Practitioner 363LF0000XRXN0101204 (CO)
Family Nurse Practitioner Primary 363LF0000XAPN.0101839-NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1245754738

Raeann Raisor's National Provider Identifier is 1245754738, issued on Jul 27, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Broomfield, CO. The record was last updated on Apr 22, 2026.