Individual provider · Type 1 NPI
Gary Dwayne Raleigh, NP
Nurse Practitioner · Broken Arrow, OK
Practice location
503 S Aspen
Broken Arrow, OK 74012
Fax (918) 331-9187
Mailing address
6906 E 83rd St N
Owasso, OK 74055-7290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 60070 (OK) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1336333442
Gary Dwayne Raleigh, NP's National Provider Identifier is 1336333442, issued on Aug 31, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 3, 2010.