Individual provider · Type 1 NPI

Holly Raymond, CNP

Pediatric Nurse Practitioner · Plymouth, MI

NPI number 1407908320 Active

Practice location

990 W Ann Arbor Trl, Suite 210
Plymouth, MI 48170-6204

Fax (734) 455-5637

Mailing address

2100 Commonwealth Blvd, Suite 202
Ann Arbor, MI 48105-1593

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704150545 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407908320

Holly Raymond, CNP's National Provider Identifier is 1407908320, issued on Jan 18, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Plymouth, MI. The record was last updated on Jul 8, 2007.