Individual provider · Type 1 NPI

Richard Carlyle Raynor Sr., AGACNP

Gerontology Nurse Practitioner · Durham, NC

NPI number 1255713046 Active

Practice location

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232

Mailing address

118 Thornewood Dr
Cary, NC 27518-9733

Other practice locations

  • 3400 Wake Forest Rd, Raleigh, NC 27609-7317 · (919) 862-5330

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X5007650 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1255713046

Richard Carlyle Raynor Sr., AGACNP's National Provider Identifier is 1255713046, issued on Jun 29, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Durham, NC. The record was last updated on Apr 19, 2023.